DR. BILAL SHAHZAD AZAM KHAN M.B.B.S
NPI 1003290479
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Q: What is Bilal Shahzad Azam Khan's NPI number?

The NPI number for Bilal Shahzad Azam Khan is 1003290479. It was assigned to this individual provider in the NPPES registry on July 16, 2015.

Q: What is Bilal Shahzad Azam Khan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 16, 2015PECOS Enrolled

1545 ATLANTIC AVE, BROOKLYN, NY 11213(718) 613-4000 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Bilal Shahzad Azam Khan M.b.b.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BILAL SHAHZAD AZAM KHAN M.B.B.S (NPI 1003290479) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003290479

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. BILAL SHAHZAD AZAM KHANCredential: M.B.B.S

Location Address1545 ATLANTIC AVEBrooklyn, NY 11213-1122

Mailing Address9518 82nd St Apt 2Ozone Park, NY 11416-1203 · (347) 614-9853

Phone(718) 613-4000

Sole ProprietorYes

Enumeration DateJuly 16, 2015

✔ NPI 1003290479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1545 ATLANTIC AVE, Brooklyn, NY 11213

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bilal Shahzad Azam Khan M.b.b.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SADHANA BOSE MD

Pediatrics

1545 ATLANTIC AVE, INTERFAITH MEDICAL CENTER
BROOKLYN, NY 11213

Kings County (718) 613-4000

QINGWEN ZHENG

Student in an Organized Health Care Education/Training Program

1545 ATLANTIC AVE, DEPARTMENT OF MEDICINE
BROOKLYN, NY 11213

Kings County (605) 670-8415

AMAL SAHA M.D.

Psychiatry & Neurology (Psychiatry)