Aisha K Khan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2674 Issued in CT

Practice address

2 Trap Falls Rd Ste 405
Shelton, CT 06484-4665

Phone

(203) 929-1954

NPI assigned

Nov 19, 2011

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1134496136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 RANDALL DR",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732836",
            "telephone_number": "203-623-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD STE 405",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844665",
            "telephone_number": "203-929-1954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Howard Ave",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065191106",
            "country_code": "US",
            "telephone_number": "203-688-1861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AISHA",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-19",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "2674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Thomas Kelly, MSPT
• Linda J Kelsey
• Hannah Kenny
• Danah Kern
• Lily Yvonne Kernagis, MD
• Parnian Kiamanesh, M.D.
• Kimberly Kim
• Valencia King, MD
• Rebecca Anne Kiss
• Margaret Beth Kissel, M.D.

• Physician Assistant in Shelton, CT
• Providers in Shelton, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.