Active NPI
Quratulain Hassan Khan, PH.D.
- Clinical Neuropsychologist
- Indianapolis, IN
National Provider Identifier
1295075570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 99055885A
- Practice address
- 9531 Valparaiso CT
Indianapolis, IN 46268 - Phone
- (317) 879-8940
- NPI assigned
- Feb 22, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 99055885A | IN | Primary |
| Psychologist | 103T00000X | 99055885A | IN |
Addresses
Primary practice location
9531 Valparaiso CT
Indianapolis, IN 46268
Mailing address
9531 Valparaiso CT
Indianapolis, IN 46268
Phone (317) 879-8940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99055885A | IN | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1295075570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9531 VALPARAISO CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46268",
"telephone_number": "317-879-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9531 VALPARAISO CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46268",
"telephone_number": "317-879-8940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "QURATULAIN",
"middle_name": "HASSAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-22",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IN",
"license": "99055885A",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "99055885A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.