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

Khisraw Nawa, MD

Individual provider Internal Medicine Physician · NPI 1912892613

Khisraw Nawa, MD is an Internal Medicine in Hornell, New York. Qualified in 2004, 22 years ago. Practices with Mill Basin Medical Health PC, a 101-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2025
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

434 Monroe Ave
Hornell, NY 14843-2236
Phone: (607) 324-7740
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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 P135657 (NY)

Record details

NPI number1912892613
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 11, 2025
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address434 Monroe Ave, Hornell, NY 14843-2236

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Mill Basin Medical Health Pc — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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