Azad Khan M.D P.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD039585L Issued in PA

Legal business name

AZAD KHAN M.D P.C

Practice address

5402 West Girard Ave
Philadelphia, PA 19131-3126

Phone

(215) 477-3900

Fax

(215) 477-5006

NPI assigned

Jun 4, 2007

Last updated

Jan 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Azad Ali Khan, M.DNPI 1154471621

Title

President

Phone

(610) 520-9311

Specialties & licenses 3

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Azad Khan, M.D

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1154471621
  Authorized official Same address or phone
• Ofelia A Bacani, MD

  • Internal Medicine Physician
  • Collingdale, PA
  • NPI 1326032087
  NPD (past)
• Muhammad Ibrahim Ali Khan, M.D.

  • Internal Medicine Physician
  • Marion, OH
  • NPI 1962448688
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1346442290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 CRAIG LN",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851902",
            "telephone_number": "610-520-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 WEST GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191313126",
            "telephone_number": "215-477-3900",
            "fax_number": "215-477-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAD KHAN M.D P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AZAD",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-520-9311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD071714L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD039585L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saumya Ayyagari
• Divya Ayyala-Somayajula, MD
• Joy Ayyoub
• Az Anesthesia, PC
• Az Dental Group
• Reuben Azad, MD
• Bahareh Azadi
• Milad Azadi, D.M.D.
• Adeel Hasan Azam, M.D.
• Anita Azam, M.D.

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.