Active NPI
Unab I Khan, MD
- Pediatrics Physician
- Bronx, NY
National Provider Identifier
1093891947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 228911
- Practice address
- Cham
3415 Bainbridge Avenue
Bronx, NY 10467 - Phone
- (718) 741-2450
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 228911 | NY | Primary |
Addresses
Primary practice location
Cham
3415 Bainbridge Avenue
Bronx, NY 10467
Mailing address
111 E 210TH St
Division of Adolescent Medicine
Bronx, NY 10467-2401
Phone (718) 920-6781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02780821 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Pediatrics | Past | Accepting new patients |
| Montefiore Mount Vernon Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1013345065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1093891947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"address_2": "DIVISION OF ADOLESCENT MEDICINE",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-920-6781",
"fax_number": "718-944-5862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHAM",
"address_2": "3415 BAINBRIDGE AVENUE",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-741-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "UNAB",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "228911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02780821",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.