TARIQ MAHMOOD KHAN M.D.
NPI 1922002906
Pediatrics in Jamestown, NY

Q: What is Tariq Khan's NPI number?

The NPI number for Tariq Khan is 1922002906. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Q: What is Tariq Khan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Tariq Khan was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since June 08, 2005

1684 FOOTE AVENUE EXT, JAMESTOWN, NY 14701(716) 661-9730(716) 661-9732 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tariq Mahmood Khan M.d. NPPES

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

TARIQ MAHMOOD KHAN M.D. (NPI 1922002906) is an individual pediatrics provider in Jamestown, New York, licensed in New York (207469-1) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1922002906

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameTARIQ MAHMOOD KHANCredential: M.D.

Location Address1684 FOOTE AVENUE EXTJamestown, NY 14701-9385

Mailing Address1684 Foote Avenue ExtJamestown, NY 14701-9385 · (716) 661-9730 · Fax (716) 661-9732

Phone(716) 661-9730

Fax(716) 661-9732

Sole ProprietorNo

Enumeration DateJune 8, 2005

Last NPPES UpdateJanuary 15, 2021

NPPES CertifiedJanuary 15, 2021

✔ NPI 1922002906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 207469-1

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1684 FOOTE AVENUE EXT, Jamestown, NY 14701

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Other Identifiers 9

Other040426036267NY · Fideliscare New York Id

Other00021051301NY · Rmsco Id

Medicaid02366347NY

Other1290375NY · Independent Health Id

Other72679NY · The Chautauqua Plan Ids

Other000524287002NY · Bluecross Blueshield Wny

Medicaid01664951NY

Other00021051301NY · Univera/excellus

Other161570481NY · Federal Tax Id (comm Ins)

Other Providers at the Same Location NPPES 10

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

NERISSA RICH FNP-C

Nurse Practitioner