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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114667409

MD Gulam Muktadir Khan, DO is a Student in an Organized Health Care Education/Training Program in Jamaica, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

8268 164th St Rm N705
Jamaica, NY 11432-1104
Phone: (718) 883-4583
Fax: (718) 883-6197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114667409
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESApril 1, 2022
Certification dateApril 1, 2022

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