J. Khan, LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

37755 Issued in AZ

Legal business name

J. KHAN, LLC

Practice address

1739 E Beverly Ave
Suite 221
Kingman, AZ 86409-3593

Phone

(928) 681-8671

Fax

(928) 681-8672

NPI assigned

Jun 16, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jakulla Khan, M.D.

Title

Owner

Phone

(928) 681-8671

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jakaulla Khan, MD

  • Infectious Disease Physician
  • Clifton, NJ
  • NPI 1306936349

  AZ

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1003076712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 E BEVERLY AVE",
            "address_2": "SUITE 221",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093593",
            "telephone_number": "928-681-8671",
            "fax_number": "928-681-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 E BEVERLY AVE",
            "address_2": "SUITE 221",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093593",
            "telephone_number": "928-681-8671",
            "fax_number": "928-681-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. KHAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JAKULLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-681-8671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "37755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MEDICAL LICENSE",
            "identifier": "37755",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Illers
• Sofia G Ingeman
• Inspire Rehabilitation and Wellness LLC
• Zaffar Iqbal, M.D.
• Itano and Associates PLLC
• Janis E Jablenski, CPHT
• Jackson Eye Center PLLC
• Kenneth Douglas Jackson, M.D.
• Todd Lincoln Jackson, M.D.
• Brian Jahnny, D.O.

• Infectious Disease Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Infectious Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.