Active NPI
Ahmad Saeed Khan, M.D.
- Pediatrics Physician
- Kingman, AZ
National Provider Identifier
1184702631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 13268
- Practice address
- 1739 E Beverly Ave
Suite 220
Kingman, AZ 86409-3593 - Phone
- (928) 757-4384
- Fax
- (928) 757-4936
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 13268 | AZ | Primary |
Addresses
Primary practice location
1739 E Beverly Ave
Suite 220
Kingman, AZ 86409-3593
Mailing address
1739 E Beverly Ave
Suite 220
Kingman, AZ 86409-3593
Phone (928) 757-4384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205345 | Medicaid | AZ |
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrix Medical Group of Phoenix PC | Past | Accepting new patients | |
| Kingman Healthcare, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
dba Phoenix Perinatal Associates
- Neonatal-Perinatal Medicine Physician
- Mesa, AZ
- NPI 1407957152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184702631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1739 E BEVERLY AVE",
"address_2": "SUITE 220",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093593",
"telephone_number": "928-757-4384",
"fax_number": "928-757-4936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1739 E BEVERLY AVE",
"address_2": "SUITE 220",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093593",
"telephone_number": "928-757-4384",
"fax_number": "928-757-4936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "AHMAD",
"middle_name": "SAEED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "13268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205345",
"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 Jul 8, 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.