Active NPI
Mahnam Khizer, M.B.B.S
- Student in an Organized Health Care Education/Training Program
- Pueblo, CO
National Provider Identifier
1003664988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 400 W. 16TH Street
Pueblo, CO 81003 - Phone
- (719) 584-4561
- Fax
- (719) 544-2741
- NPI assigned
- May 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
400 W. 16TH Street
Pueblo, CO 81003
Mailing address
1915 N Greenwood St
Pueblo, CO 81003
Phone (719) 744-9669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1003664988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 N GREENWOOD ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81003",
"telephone_number": "719-744-9669",
"fax_number": "719-544-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W. 16TH STREET",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81003",
"telephone_number": "719-584-4561",
"fax_number": "719-544-2741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHIZER",
"first_name": "MAHNAM",
"name_prefix": "Dr.",
"credential": "M.B.B.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.