Organization Active NPI

Saima Khan MD PLLC

  • Surgery Physician
  • Charleston, WV
National Provider Identifier
1013280833
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
23677 Issued in WV
Legal business name
SAIMA KHAN MD PLLC
Practice address
2335 Chesterfield Ave
Suite 300
Charleston, WV 25304-1016
Phone
(304) 343-7576
NPI assigned
Feb 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Saima Ahmad Khan, M.D.
Title
Sole Owner
Phone
(304) 343-7576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 23677 WV Primary

Addresses

Primary practice location

2335 Chesterfield Ave
Suite 300
Charleston, WV 25304-1016

Mailing address

# L-3644
Columbus, OH 43260-0001
Phone (304) 343-7576

Other identifiers 1

IdentifierTypeStateIssuer
3910000956MedicaidWV

National Provider Directory

National Provider Directory

Locations

L3644
Columbus, OH 43260

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1013280833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "# L-3644",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432600001",
            "telephone_number": "304-343-7576",
            "fax_number": "304-343-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 CHESTERFIELD AVE",
            "address_2": "SUITE 300",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041016",
            "telephone_number": "304-343-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAIMA KHAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAIMA",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "304-343-7576",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WV",
            "license": "23677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910000956",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.