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

Kanwal Khan

Individual provider Adult Health Nurse Practitioner · NPI 1508662008

Kanwal Khan is a Nurse Practitioner in Brooklyn, New York. Qualified in 2024, 2 years ago. Practices with Ennoble Hc Nj PC, a 127-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

326 7th St
Brooklyn, NY 11215-3311
Phone: (718) 965-1234
Fax: (608) 888-1790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 312067 (NY)

Record details

NPI number1508662008
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 24, 2025
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ennoble Hc Nj Pc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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