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

Mustafa Ali Khan, DO

Individual provider Emergency Medicine Physician · NPI 1477134849

Mustafa Ali Khan, DO is an Emergency Medicine in Johnson City, New York. Qualified in 2021, 5 years ago. Practices with United Medical Associates PC, a 232-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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

33-57 Harrison St
Johnson City, NY 13790-2107
Phone: (607) 763-6412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 333172 (NY)

Record details

NPI number1477134849
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 18, 2021
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address33 Lewis Rd, Fl 2, Binghamton, NY 13905

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice United Medical Associates Pc — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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