TUBA KHAN
NPI 1780579870
Licensed Practical Nurse in Medford, NY
About Tuba Khan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TUBA KHAN (NPI 1780579870) is an individual licensed practical nurse in Medford, New York, licensed in New York (353212) and active in the NPI registry since June 2025.
NPPES Registry Identity
Specialties & Licenses
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 Tuba Khan's NPI number?
The NPI number for Tuba Khan is 1780579870. It was assigned to this individual provider in the NPPES registry on June 10, 2025.
Where is Tuba Khan located?
Tuba Khan practices at 64 Gray Ave, Medford, NY 11763. The listed phone number is (631) 520-4187.
What is Tuba Khan's specialty?
The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.
When was this NPI record last updated?
The NPPES record for Tuba Khan was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Tuba Khan · NPI 1780579870
Licensed Practical Nurse provider in Medford, New York. Individual provider, active in the CMS NPPES registry since June 10, 2025.
## Identity
- **NPI:** 1780579870 (Entity type: Individual)
- **Enumerated:** June 10, 2025
- **Primary specialty:** Licensed Practical Nurse · taxonomy 164W00000X
- **State license:** 353212 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 64 GRAY AVE, Medford, NY 11763-1094
- **Phone:** (631) 520-4187
## Record status
- **NPPES last updated:** June 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780579870) · Data from the CMS NPPES public registry.