Provider Demographics
NPI:1336714773
Name:KHAN, HIRA (MD)
Entity type:Individual
Prefix:
First Name:HIRA
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150-A ABDALIANS SOCIETY
Mailing Address - Street 2:
Mailing Address - City:LAHORE
Mailing Address - State:PUNJAB
Mailing Address - Zip Code:54000
Mailing Address - Country:PK
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LINCOLN MEDICAL & MENTAL HEALTH CTR, DEPT OF MEDICINE
Practice Address - Street 2:SUITE 8-20, 234 EAST 149TH STREET
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-579-5874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2024-07-08
Deactivation Date:2023-03-29
Deactivation Code:
Reactivation Date:2024-07-08
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program