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

Mohammad Siddique Khan

Individual provider Internal Medicine Physician · NPI 1376070540

Mohammad Siddique Khan is a Hematology/Oncology in Newburgh, Indiana. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2017, 9 years ago. Practices with Deaconess Specialty Physicians, Inc, a 229-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Ohio.

Years since qualifying
9
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
IN, OH
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4055 Gateway Blvd
Newburgh, IN 47630-7451
Phone: (812) 858-0723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 01093403A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 58008291 (OH)

Record details

NPI number1376070540
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 17, 2017
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024
Mailing address4055 Gateway Blvd, Newburgh, IN 47630-7451

Medicare enrollment

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

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2017 (9 years in practice)
Group practice Deaconess Specialty Physicians, Inc — 229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Newburgh