Anwar a. Khan, M.D., LTD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ANWAR A. KHAN, M.D., LTD

Practice address

4010 N Illinois St Ste 2
Swansea, IL 62226-1967

Phone

(618) 235-6867

Fax

(618) 235-9732

NPI assigned

Feb 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Anwar Ahmed Khan, M.D.

Title

Owner

Phone

(618) 235-6867

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1275855694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 N ILLINOIS ST STE 2",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261967",
            "telephone_number": "618-235-6867",
            "fax_number": "618-235-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 N ILLINOIS ST STE 2",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261967",
            "telephone_number": "618-235-6867",
            "fax_number": "618-235-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANWAR A. KHAN, M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-235-6867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Swansea, IL
• Providers in Swansea, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.