Active NPI
Qizal Komal Khan, RN
- Registered Nurse
- Bridgeport, CT
National Provider Identifier
1285548818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 236740
- Practice address
- 345 Merritt St
Bridgeport, CT 06606-3469 - Phone
- (475) 988-4524
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 236740 | CT | Primary |
Addresses
Primary practice location
345 Merritt St
Bridgeport, CT 06606-3469
Mailing address
345 Merritt St
Bridgeport, CT 06606-3469
Phone (475) 988-4524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1285548818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 MERRITT ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066063469",
"telephone_number": "475-988-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 MERRITT ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066063469",
"telephone_number": "475-988-4524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "QIZAL",
"middle_name": "KOMAL",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "236740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.