Organization Active NPI

F Khan MD PC

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1033253992
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301061370
Legal business name
F KHAN MD PC
Practice address
3433 Fenton Rd
Flint, MI 48507-1577
Phone
(810) 233-5133
Fax
(810) 235-8656
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Dr. Farhan M Khan, MDNPI 1023081742
Title
Owner
Phone
(810) 235-1331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301061370 Primary

Addresses

Primary practice location

3433 Fenton Rd
Flint, MI 48507-1577

Mailing address

3433 Fenton Rd
Flint, MI 48507-1577
Phone (810) 235-1331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090416000072 MI Part B Supplier - Clinic/Group Practice 9335296052 Receives reassigned benefits from 3 practitioners
Practice locations: Flint, MI; Flushing, MI; Grand Blanc, MI

National Provider Directory

National Provider Directory

Locations

3433 Fenton Rd
Flint, MI 48507
Phone (810) 233-5133

G1069 N Ballenger Hwy
Flint, MI 48504
Phone (810) 235-2006

6122 W Pierson Rd
Unit 5
Flushing, MI 48433

8491 Holly Rd
Grand Blanc, MI 48439
Phone (810) 694-1711

Practitioners & affiliated clinicians

Practitioners 4

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": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1033253992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 FENTON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071577",
            "telephone_number": "810-235-1331",
            "fax_number": "810-235-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 FENTON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071577",
            "telephone_number": "810-233-5133",
            "fax_number": "810-235-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F KHAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FARHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-235-1331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": "4301061370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.