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

Tuba Khan

Individual provider Licensed Practical Nurse · NPI 1780579870

Tuba Khan is a Licensed Practical Nurse in Medford, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

64 Gray Ave
Medford, NY 11763-1094
Phone: (631) 520-4187
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 353212 (NY)

Record details

NPI number1780579870
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2025
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address64 Gray Ave, Medford, NY 11763-1094

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