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

Shahbaz Ali Khan, MD

Individual provider Hematology (Pathology) Physician · NPI 1639554181

Shahbaz Ali Khan, MD is a Pathology in Staten Island, New York. Qualified in 2011, 15 years ago. Practices with Triborough Gi PLLC, a 15-clinician group and accepts Medicare assignment. Licensed in New York and Oklahoma.

Years since qualifying
15
Licensed in
NY, OK
In the registry since
2015
Specialties on file
3
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

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-4037
Show map & directions

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

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 298212 (NY)
Hematology (Pathology) Physician Taxonomy 207ZH0000X · Licence 298212 (NY)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 31464 (OK)

Record details

NPI number1639554181
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2015
Last updated in NPPESOctober 30, 2021
Certification dateOctober 30, 2021

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Triborough Gi Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare