Mansoor Ahmad Khan

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

0106551A Issued in IN

Legal business name

MANSOOR AHMAD KHAN

Practice address

4400 Washington Ave
First Floor
Evansville, IN 47714-0887

Phone

(718) 290-3963

NPI assigned

Aug 31, 2009

Last updated

Aug 31, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mansoor Ahmad Khan, M.D.

Title

Owner

Phone

(718) 290-3963

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dana Edward Meeks, D.C.

  • Chiropractor
  • Evansville, IN
  • NPI 1417073974
  NPD (past)
• Kendra Lynn Parus, NP

  • Acute Care Nurse Practitioner
  • Evansville, IN
  • NPI 1801178496
  NPD (past)

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1295968766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476290935",
            "telephone_number": "718-290-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 WASHINGTON AVE",
            "address_2": "FIRST FLOOR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140887",
            "telephone_number": "718-290-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSOOR AHMAD KHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MANSOOR",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-290-3963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "0106551A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Sue Mann, MSW LCSW
• Miles Daniel Mann II, MD
• Nichole E Mannahan, FNP
• Janet Mary Manning, DT
• Skyla Nicole Manning
• Joseph Mansour, MD
• Erica Marburger, MD
• Laura J Marburger, MD
• Ross Edward Marburger, M.D.
• Marcel Garcia Chiropractic LLC

• Physical Medicine & Rehabilitation Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Physical Medicine & Rehabilitation Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.