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

Moid Khan, MD

Individual provider Family Medicine Physician · NPI 1417046038

Moid Khan, MD is a General Practice in Watertown, New York. Qualified in 1975, 51 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
51
Licensed in
NY
In the registry since
2006
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

531 Washington St Ste 2401
Watertown, NY 13601-4069
Phone: (315) 788-3070
Fax: (315) 788-8061
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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 130228 (NY)

Record details

NPI number1417046038
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 12, 2006
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020
Mailing address531 Washington St, Ste 2401, Watertown, NY 13601-4069

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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