Organization Active NPI

Dost M. Khattak, M.D., P.C.

  • Legal Medicine
  • Huntsville, AL
National Provider Identifier
1154537553
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
9080 Issued in AL
Legal business name
DOST M. KHATTAK, M.D., P.C.
Practice address
333 Whitesport Dr SW
Suite 304
Huntsville, AL 35801-6454
Phone
(256) 880-0800
Fax
(256) 882-3556
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Theresa A Johnson
Title
Insurance Clerk
Phone
(256) 880-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 9080 AL Primary

Addresses

Primary practice location

333 Whitesport Dr SW
Suite 304
Huntsville, AL 35801-6454

Mailing address

333 Whitesport Dr SW
Suite 304
Huntsville, AL 35801-6454
Phone (256) 880-0800

Other identifiers 1

IdentifierTypeStateIssuer
1427005560OtherALSOLO NPI NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154537553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WHITESPORT DR SW",
            "address_2": "SUITE 304",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016454",
            "telephone_number": "256-880-0800",
            "fax_number": "256-882-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WHITESPORT DR SW",
            "address_2": "SUITE 304",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016454",
            "telephone_number": "256-880-0800",
            "fax_number": "256-882-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOST M. KHATTAK, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "256-880-0800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "AL",
            "license": "9080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLO NPI NUMBER",
            "identifier": "1427005560",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.