Organization Active NPI

Rehan Khan, M.D., P.a.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Bel Air, MD
National Provider Identifier
1215751540
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
REHAN KHAN, M.D., P.A.
Doing business as
Rehan Khan M.D, P.A.
Practice address
4 W Broadway
Bel Air, MD 21014-3546
Phone
(443) 243-8894
NPI assigned
Nov 13, 2024
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Dr. Rehan A Khan, MDNPI 1497796619
Title
President
Phone
(443) 243-8894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081S0010X Primary

Addresses

Primary practice location

4 W Broadway
Bel Air, MD 21014-3546

Mailing address

4 W Broadway
Bel Air, MD 21014-3546
Phone (443) 243-8894

Other practice location 1

8895 Centre Park Dr Unit 3E
Columbia, MD 21045-1966
Phone (443) 243-8894

Other names 1

  • Rehan Khan M.D, P.A. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rehan Ahmad Khan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8895 Centre Park Dr
Unit 3E
Columbia, MD 21045
Phone (443) 243-8894

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1215751540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W BROADWAY",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143546",
            "telephone_number": "443-243-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W BROADWAY",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143546",
            "telephone_number": "443-243-8894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8895 Centre Park Dr Unit 3E",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210451966",
            "country_code": "US",
            "telephone_number": "443-243-8894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REHAN KHAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "REHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-243-8894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehan Khan M.D, P.A.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rehan Khan M.D, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.