Active NPI
Salma P Khan, MD
- Family Medicine Physician
- Cordova, TN
National Provider Identifier
1194990416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 47853
- Practice address
- 290 S Walnut Bend
Ste 1
Cordova, TN 38018-7280 - Phone
- (901) 266-1080
- Fax
- (901) 266-1158
- NPI assigned
- Apr 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 47853 | TN | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 47853 | TN | |
| Family Medicine Physician | 207Q00000X | 47853 | TN | Primary |
Addresses
Primary practice location
290 S Walnut Bend
Ste 1
Cordova, TN 38018-7280
Mailing address
PO Box 1000
Dept 922
Memphis, TN 38148-0922
Phone (901) 821-0338
Other practice location 1
7424 US Highway 64 Ste 111
Bartlett, TN 38133-8937
Phone (901) 385-7817
Other practice location 2
8990 Germantown Rd
Olive Branch, MS 38654-8532
Phone (662) 893-1160
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1194990416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"address_2": "DEPT 922",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381480922",
"telephone_number": "901-821-0338",
"fax_number": "901-821-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 S WALNUT BEND",
"address_2": "STE 1",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187280",
"telephone_number": "901-266-1080",
"fax_number": "901-266-1158"
}
],
"practiceLocations": [
{
"address_1": "7424 US Highway 64 Ste 111",
"address_purpose": "LOCATION",
"city": "Bartlett",
"state": "TN",
"postal_code": "381338937",
"country_code": "US",
"telephone_number": "901-385-7817",
"fax_number": "901-383-2150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8990 Germantown Rd",
"address_purpose": "LOCATION",
"city": "Olive Branch",
"state": "MS",
"postal_code": "386548532",
"country_code": "US",
"telephone_number": "662-893-1160",
"fax_number": "662-893-1166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "SALMA",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-28",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TN",
"license": "47853",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TN",
"license": "47853",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "47853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.