NPIMap

Organization Active NPI

Khan Obstetrics & Gynecology Associates, PA

  • Obstetrics & Gynecology Physician
  • Dover, DE
National Provider Identifier
1194766980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2002104386 Issued in DE
Legal business name
KHAN OBSTETRICS & GYNECOLOGY ASSOCIATES, PA
Practice address
888 S State St
Dover, DE 19901-4148
Phone
(302) 735-8720
Fax
(302) 735-8724
NPI assigned
Jun 10, 2006
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. Lisa Springer
Title
Billing Manager
Phone
(302) 735-8720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 2002104386 DE Primary

Addresses

Primary practice location

888 S State St
Dover, DE 19901-4148

Mailing address

888 S State St
Dover, DE 19901-4148
Phone (302) 735-8720

Other identifiers 1

IdentifierTypeStateIssuer
1000015028MedicaidDE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194766980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014148",
            "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": "888 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014148",
            "telephone_number": "302-735-8720",
            "fax_number": "302-735-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAN OBSTETRICS & GYNECOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "302-735-8720",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "2002104386",
            "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 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.