Provider Demographics
NPI:1972291078
Name:KHAN, FAIZA HUMAYUN (MD)
Entity type:Individual
Prefix:
First Name:FAIZA HUMAYUN
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 1:70 DUBOIS STREET, MONTEFIORE ST. LUKES CORNWALL
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550
Mailing Address - Country:US
Mailing Address - Phone:845-561-4400
Mailing Address - Fax:845-568-2614
Practice Address - Street 1:70 DUBOIS STREET
Practice Address - Street 2:MONTEFIORE ST. LUKES CORNWALL
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12553
Practice Address - Country:US
Practice Address - Phone:806-599-0449
Practice Address - Fax:845-568-2614
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program