NPIMap

Organization Active NPI

S Ismail Bokhari, M.D., P.C.

  • Internal Medicine Physician
  • Kingman, AZ
National Provider Identifier
1164508370
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24503 Issued in AZ
Legal business name
S ISMAIL BOKHARI, M.D., P.C.
Practice address
1720 E Beverly Ave
Suite B
Kingman, AZ 86409-3567
Phone
(928) 757-1333
Fax
(928) 757-2367
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Mahmood Khan, M.D.
Title
Employed Physician
Phone
(928) 757-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 24503 AZ Primary

Addresses

Primary practice location

1720 E Beverly Ave
Suite B
Kingman, AZ 86409-3567

Mailing address

1720 E Beverly Ave
Suite B
Kingman, AZ 86409-3567
Phone (928) 757-1333

Other identifiers 1

IdentifierTypeStateIssuer
376691MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
S Ismail Bokhari MD PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1164508370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E BEVERLY AVE",
            "address_2": "SUITE B",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093567",
            "telephone_number": "928-757-1333",
            "fax_number": "928-757-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E BEVERLY AVE",
            "address_2": "SUITE B",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093567",
            "telephone_number": "928-757-1333",
            "fax_number": "928-757-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S ISMAIL BOKHARI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_title_or_position": "EMPLOYED PHYSICIAN",
        "authorized_official_telephone_number": "928-757-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376691",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.