Organization Active NPI

Saginaw Valley Neurology PLLC

  • Neurology Physician
  • Saginaw, MI
National Provider Identifier
1225278740
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301072871 Issued in MI
Legal business name
SAGINAW VALLEY NEUROLOGY PLLC
Practice address
4677 Towne Centre Rd
Suite 303
Saginaw, MI 48604-2846
Phone
(989) 799-8712
Fax
(989) 791-1152
NPI assigned
Feb 24, 2009
Last updated
Mar 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Iftikhar A Khan, MD
Title
Owner/President
Phone
(989) 799-8712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 4301072871 MI Primary

Addresses

Primary practice location

4677 Towne Centre Rd
Suite 303
Saginaw, MI 48604-2846

Mailing address

2561 Reliable Pkwy
Chicago, IL 60686-0001
Phone (989) 799-8712

National Provider Directory

National Provider Directory

Locations

2561 Reliable Pkwy
Chicago, IL 60686

4677 Towne Centre Rd
Ste 303
Saginaw, MI 48604
Phone (989) 401-5354

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1225278740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001",
            "telephone_number": "989-799-8712",
            "fax_number": "989-791-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CENTRE RD",
            "address_2": "SUITE 303",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042846",
            "telephone_number": "989-799-8712",
            "fax_number": "989-791-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGINAW VALLEY NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IFTIKHAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "989-799-8712",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301072871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.