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

Khadeza Yesmin Uddin, PA-C

Individual provider Gastroenterology Physician · NPI 1114534963

Khadeza Yesmin Uddin, PA-C is a Gastroenterology Physician in Flushing, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (718) 670-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Gastroenterology Physician Taxonomy 207RG0100X · Licence 025610 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 025610 (NY)

Record details

NPI number1114534963
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 25, 2020
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021
Mailing address5645 Main St, Flushing, NY 11355-5045

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