Active NPI
Harbor Infectious Diseases
- Infectious Disease Physician
- Aberdeen, WA
National Provider Identifier
1205024197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD 00038534
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Hany G Bashandy MD PS
- Harbor Dental Center
- Harbor Dental Center
- Harbor Foot & Ankle Clinic PLLC
- Harbor Heights (Department of Children, Youth, & Families)
- Harbor Internal Medicine PLLC
- Harbor Kids Dental PLLC
- Harbor Ophthalmology
- Harbor Orthopedic and Fracture Clinic
- Harbor Physical Therapy Services, PS
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.