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DR. MAAZ SHAH KHAN MD
NPI 1104672351
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since April 29, 2024PECOS Enrolled
111 EAST 210TH STREET, BRONX, NY 10467(718) 696-2583(718) 881-5074 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2024, Apr 29, 2024 (2 updates tracked since 2024).

About Dr. Maaz Shah Khan Md NPPES

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

DR. MAAZ SHAH KHAN MD (NPI 1104672351) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104672351
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MAAZ SHAH KHANCredential: MD
Location Address111 EAST 210TH STREETBronx, NY 10467
Mailing Address12624 Vaquero CourtRancho Cucamonga, CA 91739
Phone(718) 696-2583
Fax(718) 881-5074
Sole ProprietorNo
Enumeration DateApril 29, 2024
Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration
✔ NPI 1104672351 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.
111 EAST 210TH STREET, Bronx, NY 10467
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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. Maaz Shah Khan Md 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.

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.

MS. AMY F ROWE F.N.P.
Nurse Practitioner
111 EAST 210TH STREET, MONTEFIORE SCHOOL HEALTH PROGRAM
BRONX, NY 10467
Bronx County (718) 696-4060
SHAMSU SAHALU BELLO MBBS
Student in an Organized Health Care Education/Training Program
111 EAST 210TH STREET, DEPARTMENT OF PATHOLOGY
BRONX, NY 10467
Bronx County (347) 518-0831
DANIEL LOCKETT LABOVITZ M.D.
Psychiatry & Neurology (Neurology)
111 EAST 210TH STREET, STERN STROKE CENTER
BRONX, NY 10467
Bronx County (718) 920-6444
LAURENCE J ADAMS PA
Physician Assistant
111 EAST 210TH STREET, MMC - DEPT. OF MEDICINE
BRONX, NY 10467
Bronx County (718) 920-2961
MS. CLEMENCIA SOLORZANO RPH
Pharmacist
111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-8354
MONTEFIORE MEDICAL CENTER
Clinic/Center (Primary Care)
111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (914) 377-4722
MONTEFIORE MEDICAL CENTER
General Acute Care Hospital
111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (914) 377-4722
BARBARA C MCMILLION RNP
Nurse Practitioner
111 EAST 210TH STREET, MMC - DEPT. OF MEDICINE
BRONX, NY 10467
Bronx County (718) 920-7373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maaz Khan's NPI number?

The NPI number for Maaz Khan is 1104672351. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Maaz Khan located?

Maaz Khan practices at 111 East 210th Street, Bronx, NY 10467. The listed phone number is (718) 696-2583.

What is Maaz Khan's specialty?

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

Is Maaz Khan enrolled in Medicare?

Yes. Maaz Khan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maaz Khan was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.