Active NPI
Nasreen Khan, D.O.
- Obstetrics & Gynecology Physician
- Dover, DE
National Provider Identifier
1174565816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C20005024
- Practice address
- 1113 S State St
Dover, DE 19901-4112 - Phone
- (302) 735-8720
- Fax
- (302) 735-8724
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | C20005024 | DE | Primary |
Addresses
Primary practice location
1113 S State St
Dover, DE 19901-4112
Mailing address
1113 S State St
Dover, DE 19901-4112
Phone (302) 735-8720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000015028 | Medicaid | DE |
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 Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1174565816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 S STATE ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199014112",
"telephone_number": "302-735-8720",
"fax_number": "302-735-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 S STATE ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199014112",
"telephone_number": "302-735-8720",
"fax_number": "302-735-8724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "NASREEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "DE",
"license": "C20005024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000015028",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.