Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Khousidai S Balwan, MD

Individual provider Internal Medicine Physician · NPI 1437139680

Dr. Khousidai S Balwan, MD is an Internal Medicine in Great Neck, New York. Graduated from Icahn School of Medicine at Mount Sinai in 1997, 29 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
29
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

865 Northern Blvd
Great Neck, NY 11021-5310
Phone: (516) 622-5000
Fax: (516) 622-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 211415 (NY)

Record details

NPI number1437139680
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 21, 2006
Last updated in NPPESJune 28, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 1997 (29 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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