Organization Active NPI

Harbor Infectious Diseases

  • Infectious Disease Physician
  • Aberdeen, WA
National Provider Identifier
1205024197
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD 00038534 Issued in WA
Legal business name
HARBOR INFECTIOUS DISEASES
Practice address
1730 Graves Ave
Aberdeen, WA 98520-1213
Phone
(360) 532-2311
NPI assigned
Oct 5, 2007
Last updated
Oct 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Dr. Muhammad Aijaz Khurshid, M.D.
Title
President
Phone
(360) 532-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD 00038534 WA Primary

Addresses

Primary practice location

1730 Graves Ave
Aberdeen, WA 98520-1213

Mailing address

1730 Graves Ave
Aberdeen, WA 98520-1213

National Provider Directory

National Provider Directory

Locations

916 Anderson Ave
Aberdeen, WA 98520
Phone (360) 532-8330

916 Anderson Ave
Aberdeen, WA 98520
Phone (360) 532-8330

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1205024197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 GRAVES AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 GRAVES AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201213",
            "telephone_number": "360-532-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR INFECTIOUS DISEASES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "KHURSHID",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "AIJAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-532-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WA",
            "license": "MD 00038534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.