Organization Active NPI

Nadia G Khan

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1306429543
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NADIA G KHAN
Practice address
4543 N Malden St Apt 1S
Chicago, IL 60640-5687
Phone
(773) 603-4125
NPI assigned
May 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Nadia G KhanNPI 1710547625
Title
Surgical First Assist
Phone
(773) 603-4125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

4543 N Malden St Apt 1S
Chicago, IL 60640-5687

Mailing address

4543 N Malden St Apt 1S
Chicago, IL 60640-5687

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1306429543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 N MALDEN ST APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4543 N MALDEN ST APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405687",
            "telephone_number": "773-603-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADIA G KHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NADIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SURGICAL FIRST ASSIST",
        "authorized_official_telephone_number": "773-603-4125"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.