Ijaz Khan, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0031569 Issued in MD

Practice address

6040 Southport Dr
Bethesda, MD 20814-1848

Phone

(301) 493-4200

Fax

(301) 493-6209

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charles County Health Department

  • Public Health or Welfare Agency
  • White Plains, MD
  • NPI 1841377728
  Medicare reassignment NPD
• Cornerstone Montgomery, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bethesda, MD
  • NPI 1194725739

  DC

  Medicare reassignment NPD
• Charles County Department of Health

  • Community/Behavioral Health Agency
  • White Plains, MD
  • NPI 1033564638
  NPD
• Cornerstone Montgomery, Inc.

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
  • NPI 1174995781
  NPD
• Comptroller of Maryland Central Payroll Bureau

  • Psychiatric Hospital Unit
  • Catonsville, MD
  • NPI 1962493403
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073653473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 EDGEWATER PKWY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031242",
            "telephone_number": "301-493-4200",
            "fax_number": "301-493-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 SOUTHPORT DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141848",
            "telephone_number": "301-493-4200",
            "fax_number": "301-493-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "IJAZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0031569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace L Key, D.M.D.
• Kattie Khadar, DNP, CRNP-FAMILY
• Anjum Khan, M.D.
• Halima Khan
• Hassan Umer Khan, DO
• Javed Khan, MD
• Mohamed Fahim Khan, D.O.
• Nausheen Khan
• Omar Iqbal Khan, M.D.
• Sabiha Khan, M.D.

• Psychiatry Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.