Organization Active NPI

Zakir H. Khan M.D. P.a.

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1285938795
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME40098 Issued in FL
Legal business name
ZAKIR H. KHAN M.D. P.A.
Practice address
2406 S Seacrest Blvd
Boynton Beach, FL 33435-6702
Phone
(561) 734-0776
Fax
(561) 734-2285
NPI assigned
Dec 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Dr. Zakir H Khan, M.D.
Title
President
Phone
(561) 734-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME40098 FL Primary

Addresses

Primary practice location

2406 S Seacrest Blvd
Boynton Beach, FL 33435-6702

Mailing address

2406 S Seacrest Blvd
Boynton Beach, FL 33435-6702
Phone (561) 734-0776

Other identifiers 2

IdentifierTypeStateIssuer
110169850MedicaidFL
94086OtherMEDICARE

National Provider Directory

National Provider Directory

Locations

2406 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 734-0776

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1285938795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356702",
            "telephone_number": "561-734-0776",
            "fax_number": "561-734-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356702",
            "telephone_number": "561-734-0776",
            "fax_number": "561-734-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAKIR H. KHAN M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZAKIR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-734-0776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME40098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110169850",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "94086",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.