Khaja Mohammed Ahsanuddin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

28725 Issued in NC

Practice address

113B Foothills Dr
Morganton, NC 28655-5152

Phone

(828) 433-5899

Fax

(828) 437-4443

NPI assigned

May 17, 2006

Last updated

Oct 8, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

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

• Blue Ridge Healthcare Hospitals, Inc.

  dba CMC Blue Ridge

  • Hematology & Oncology Physician
  • Morganton, NC
  • NPI 1417000837
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1114970811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113B FOOTHILLS DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555152",
            "telephone_number": "828-433-5899",
            "fax_number": "828-437-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113B FOOTHILLS DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555152",
            "telephone_number": "828-433-5899",
            "fax_number": "828-437-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHSANUDDIN",
        "first_name": "KHAJA",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "28725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL ID # WITH BCBS",
            "identifier": "10439",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID NUMBER WITH BCBS",
            "identifier": "016P5",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910439",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Adams, RPH
• Raphael Kwaku Adandey, ETC.
• Samuel Addo, MD
• Advanced Business Concepts, Inc. (Catawba Valley Medical Servcies)
• Tamra Witherspoon Aguilera, LCSW
• Rasheda Ahsanuddin, M.D.
• Richard E. Akers Jr., M.D.
• Noryn Alam, MSW, LCSW
• Sitara Jabeen Alam, M.D.
• Alexander Optometric Clinic, P.a. (Eye Care Specialities)

• Psychiatry Physician in Morganton, NC
• Providers in Morganton, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.