| Doctor Name: | PERVEZ ALI KHAN |
| NPI Number: | 1780857854 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 125843 |
| Business Practice Address: | 4979 Harlem Rd Suite 1 Amherst, NY - 142262544 |
| Business Phone Number: | 7169234380 |
| Business Fax Number: | 7169234384 |
| Mailing Address: | 4979 Harlem Rd, Suite 1 AMHERST |
| State: | NY |
| Postal Code: | 142262544 |
| Phone Number: | 7169234380 |
| Fax Number: | 7169234384 |
| NPI Enumeration Date: | 04/09/2008 |
| NPI Last Update Date: | 04/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 125843 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |