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

Khadija Khan

Individual provider Family Medicine Physician · NPI 1235767633

Khadija Khan is a Family Practice in Glen Cove, New York. Graduated from City University of New York School of Medicine in 2020, 6 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Trained at
City University of New York School of Medicine
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

101 Saint Andrews Ln
Glen Cove, NY 11542-2254
Phone: (516) 674-7631
Fax: (516) 674-7639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 325619 (NY)

Record details

NPI number1235767633
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024
Mailing address101 Saint Andrews Ln, Glen Cove, NY 11542-2254

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolCITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glen Cove