Active NPI
Mija Khan MD PLLC
- Plastic Surgery Physician
- Scottsdale, AZ
National Provider Identifier
1326705997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- MIJA KHAN MD PLLC
- Practice address
- 8994 E Desert Cove Ave
Scottsdale, AZ 85260-7901 - Phone
- (480) 551-2040
- NPI assigned
- Nov 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brittany Boyer
- Title
- Authorized
- Phone
- (209) 956-7732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
8994 E Desert Cove Ave
Scottsdale, AZ 85260-7901
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3301 N Miller Rd
Ste 175
Scottsdale, AZ 85251
Phone (480) 551-2040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Scottsdale, AZ
- NPI 1740667070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712016000000",
"number": "1326705997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670096",
"telephone_number": "209-956-7725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8994 E DESERT COVE AVE",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852607901",
"telephone_number": "480-551-2040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIJA KHAN MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-18",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A",
"authorized_official_last_name": "BOYER",
"authorized_official_first_name": "BRITTANY",
"authorized_official_title_or_position": "AUTHORIZED",
"authorized_official_telephone_number": "209-956-7732"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.