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

Hasan Khatib

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972921419

Hasan Khatib is a Pathology in Buffalo, New York. Qualified in 2006, 20 years ago. Practices with Eastern Great Lakes Pathology PC, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

565 Abbott Rd
Buffalo, NY 14220-2039
Phone: (413) 276-5056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 759 Chestnut Street, Springfield, MA 01199 — (413) 794-0000

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 296537 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972921419
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 2, 2014
Last updated in NPPESJanuary 10, 2021
Certification dateJanuary 10, 2021

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Eastern Great Lakes Pathology Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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