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

Tazleem Shazad Khan, MD

Individual provider Internal Medicine Physician · NPI 1821397100

Tazleem Shazad Khan, MD is a Nephrology in Bethpage, New York. Qualified in 2011, 15 years ago. Practices with Long Island Kidney Associates, PC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2011
Specialties on file
2
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

4250 Hempstead Tpke Ste 17
Bethpage, NY 11714-5707
Phone: (516) 735-5522
Fax: (516) 644-5385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 276217 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 276217 (NY)

Record details

NPI number1821397100
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2011
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Long Island Kidney Associates, Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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