Organization Active NPI

Nassar F Khan MD PC

  • Specialist
  • Fairfax, VA
National Provider Identifier
1306189816
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101053383 Issued in VA
Legal business name
NASSAR F KHAN MD PC
Practice address
2826 Old Lee Hwy
Suite # 110
Fairfax, VA 22031-4323
Phone
(703) 560-8444
Fax
(703) 560-4888
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Nassar F Khan, MD
Title
Owner
Phone
(703) 560-8444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101053383 VA Primary

Addresses

Primary practice location

2826 Old Lee Hwy
Suite # 110
Fairfax, VA 22031-4323

Mailing address

2826 Old Lee Hwy
Suite # 110
Fairfax, VA 22031-4323
Phone (703) 560-8444

Other identifiers 2

IdentifierTypeStateIssuer
2972-0001OtherVACAREFIRST BC
005848784MedicaidVA

National Provider Directory

National Provider Directory

Locations

2826 Old Lee Hwy
Ste 110
Fairfax, VA 22031
Phone (703) 560-8444

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1306189816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY",
            "address_2": "SUITE # 110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314323",
            "telephone_number": "703-560-8444",
            "fax_number": "703-560-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY",
            "address_2": "SUITE # 110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314323",
            "telephone_number": "703-560-8444",
            "fax_number": "703-560-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAR F KHAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NASSAR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-560-8444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101053383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC",
            "identifier": "2972-0001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005848784",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.