A. Mohammad Khan, MD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

208M00000X Issued in TX

Legal business name

A. MOHAMMAD KHAN, MD

Practice address

100 Medical Dr
Lake Jackson, TX 77566-5674

Phone

(979) 476-0795

NPI assigned

Nov 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Afzal Mohammad Khan, M.D.

Title

Medical Director

Phone

(979) 417-8022

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1285063776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665674",
            "telephone_number": "979-476-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665674",
            "telephone_number": "979-476-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. MOHAMMAD KHAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AFZAL",
        "authorized_official_middle_name": "MOHAMMAD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "979-417-8022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "208M00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1834301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 1St Faithful Home Care Inc.
• A & F Services MD PA (Gulf Coast Arthritis & Rheumatism Clinic)
• Kylee Sue Ackles, MS,ED-SLP
• Active American Scooter Company (Active American Mobility and Medical Supply)
• Lowell Walter Adams Jr., PH.D.
• M Melissa Adams, LCSW
• Affordable Dentures & Implants - Texas, PLLC (Affordable Dentures & Implants - Lake Jackson)

• Skilled Nursing Facility in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.