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

Pervez Ali Khan, MD

Individual provider General Practice Physician · NPI 1780857854

Pervez Ali Khan, MD is a General Practice Physician in Lackawanna, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2600 Southpark Ave
Lackawanna, NY 14218-1504
Phone: (716) 822-2028
Fax: (716) 822-2029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 125843 (NY)

Record details

NPI number1780857854
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2008
Last updated in NPPESApril 5, 2017