Active NPI
Imran Khan, M.D., PH.D.
- Internal Medicine Physician
- New Brunswick, NJ
National Provider Identifier
1003981499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA86417
- Practice address
- 125 Paterson St
Suite 5200
New Brunswick, NJ 08901-1962 - Phone
- (732) 235-6531
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA86417 | NJ | Primary |
Addresses
Primary practice location
125 Paterson St
Suite 5200
New Brunswick, NJ 08901-1962
Mailing address
125 Paterson St
Suite 5200
New Brunswick, NJ 08901-1962
Phone (732) 235-6531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0241741 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA86417 | NJ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1003981499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 PATERSON ST",
"address_2": "SUITE 5200",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011962",
"telephone_number": "732-235-6531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PATERSON ST",
"address_2": "SUITE 5200",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011962",
"telephone_number": "732-235-6531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "IMRAN",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA86417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0241741",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.