Organization Active NPI

Habib Khan MD PA

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1013276922
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME-97166 Issued in FL
Legal business name
HABIB KHAN MD PA
Practice address
8131 Woodsmuir Dr
West Palm Beach, FL 33412-1646
Phone
(786) 487-1395
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Authorized official

Name
Waqas Hussain
Title
Operations Manager
Phone
(405) 563-2443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME-97166 FL Primary

Addresses

Primary practice location

8131 Woodsmuir Dr
West Palm Beach, FL 33412-1646

Mailing address

8131 Woodsmuir Dr
West Palm Beach, FL 33412-1646

Other identifiers 1

IdentifierTypeStateIssuer
ME-97166OtherFLLICENSE NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1013276922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 WOODSMUIR DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 WOODSMUIR DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121646",
            "telephone_number": "786-487-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABIB KHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "WAQAS",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "405-563-2443"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME-97166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "ME-97166",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.