Mir Ma Khan, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

052574-1 Issued in NY

Practice address

1111 E End Blvd
Vamc Medical Center Dental Service
Wilkes Barre, PA 18711-0030

Phone

(570) 824-3521

Fax

(570) 819-5153

NPI assigned

Jun 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336346196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 COUNTRY CLUB APTS",
            "address_2": "ROUTE 309 N",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186128925",
            "telephone_number": "215-431-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E END BLVD",
            "address_2": "VAMC MEDICAL CENTER DENTAL SERVICE",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110030",
            "telephone_number": "570-824-3521",
            "fax_number": "570-819-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MIR",
        "middle_name": "MA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052574-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sirin Keten
• Raniah Sherif Khairy, M.D.
• Yasser Khalil, M.D.
• Adil A Khan, MD
• Kashif Abdullah Khan, MD
• Moiz S Khan, DMD
• Muhammad Akram Khan, M.D.
• Muhammad Usman Khan
• Omair Ali Khan, MBBS
• Palvisha Khan, MD

• Dentist in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.