Kamyab

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KAMYAB

Practice address

2002 N Stockton Hill Rd Ste 104
Kingman, AZ 86401-4698

Phone

(928) 692-1010

Fax

(928) 692-7070

NPI assigned

May 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mahmood Khan, MDNPI 1336339175

Title

Manager/Ceo

Phone

(928) 279-9079

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahmood Khan, M.D.

  • Internal Medicine Physician
  • Kingman, AZ
  • NPI 1336339175
  NPD Authorized official

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1285953950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E BEVERLY AVE STE 1-B",
            "address_2": "KINGMAN",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093567",
            "telephone_number": "928-692-1010",
            "fax_number": "928-692-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 N STOCKTON HILL RD STE 104",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014698",
            "telephone_number": "928-692-1010",
            "fax_number": "928-692-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMYAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_title_or_position": "MANAGER/CEO",
        "authorized_official_telephone_number": "928-279-9079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z137853",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alie Riad Jreisat, MD
• Just for Kids Dental Group Kingman, PLLC (Just For Kid Dentistry)
• Just for Kids Dentistry Kingman PLLC
• Just for Kids General Dentistry, PC
• Arulasanam Paul Kalanithi, MD
• Jeremy Harris Kaplan, M.D
• Heather Kash, M.S.
• Reza Kazemi, M.D.
• Maryann Keese
• Michael Kellam

• Internal Medicine Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.