Active NPI
Amy J. Khan, M.D., MPH
- Internal Medicine Physician
- Reno, NV
National Provider Identifier
1346289964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11174
- Practice address
- 975 Kirman Ave
VA Sierra Nevada Health Care System
Reno, NV 89502-0993 - Phone
- (775) 786-7200
- Fax
- (775) 201-0154
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G061956 | CA | |
| Internal Medicine Physician | 207R00000X | 11174 | NV | Primary |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 11174 | NV | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | G061956 | CA |
Addresses
Primary practice location
975 Kirman Ave
VA Sierra Nevada Health Care System
Reno, NV 89502-0993
Mailing address
975 Kirman Ave
VA Sierra Nevada Health Care System
Reno, NV 89502-0993
Phone (775) 786-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004716904 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G061956 | CA | MD | Internal Medicine Physician |
| 11174 | NV | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1346289964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 KIRMAN AVE",
"address_2": "VA SIERRA NEVADA HEALTH CARE SYSTEM",
"city": "RENO",
"state": "NV",
"postal_code": "895020993",
"telephone_number": "775-786-7200",
"fax_number": "775-201-0154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 KIRMAN AVE",
"address_2": "VA SIERRA NEVADA HEALTH CARE SYSTEM",
"city": "RENO",
"state": "NV",
"postal_code": "895020993",
"telephone_number": "775-786-7200",
"fax_number": "775-201-0154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "AMY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D., MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G061956",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "11174",
"primary": true
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NV",
"license": "11174",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CA",
"license": "G061956",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004716904",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.