Mahrukh Khan, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R188592 Issued in MD

Practice address

1202 E Patrick St Ste 4
Frederick, MD 21701-3167

Phone

(410) 596-0458

NPI assigned

Dec 23, 2019

Sex

Female

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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fredericktowne Eye Care John Higinbotham OD PA

  • Durable Medical Equipment & Medical Supplies
  • Frederick, MD
  • NPI 1386809945
  NPD
• Complete Health Service Inc.

  • Home Health Agency
  • Silver Spring, MD
  • NPI 1962963348
  NPD (past)

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1366081200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E PATRICK ST STE 4",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013167",
            "telephone_number": "410-596-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E PATRICK ST STE 4",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013167",
            "telephone_number": "410-596-0458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7474 Greenway Center Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703500",
            "country_code": "US",
            "telephone_number": "301-441-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MAHRUKH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R188592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Key Neurology, LLC
• Cynthia Susan Keysor, PHD
• Khadeja Family Practice, LLC
• Aurangzeb Khan, M.D.
• Hidayat Khan, M.D.
• Maisha Zahin Khan, MD
• Shalla H Khan, M.D.
• KHC Group PC
• Muhammad Saad Khilji, MD
• Rohit Khirbat, M.D.

• All providers in Frederick, MD
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.