Individual provider Active NPI

Ahsan M Khan, MD

  • Nuclear Imaging & Therapy Physician
  • Charleston, SC
National Provider Identifier
1386768679
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
35074083 Issued in OH
Practice address
109 Bee St
Charleston, SC 29401-5703
Phone
(843) 789-7889
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 35.074083 OH
Nuclear Imaging & Therapy Physician 207UN0902X 35074083 OH Primary

Addresses

Primary practice location

109 Bee St
Charleston, SC 29401-5703

Mailing address

1804 Delacourt Ave
Mount Pleasant, SC 29466-9253
Phone (843) 364-7663

Other identifiers 1

IdentifierTypeStateIssuer
35.074083OtherOHMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ahsan.khan3@va.gov Other RALPH H. JOHNSON VA MEDICAL CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35074083OHMDNuclear Imaging & Therapy Physician

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1386768679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 DELACOURT AVE",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294669253",
            "telephone_number": "843-364-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BEE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015703",
            "telephone_number": "843-789-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AHSAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "OH",
            "license": "35.074083",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "OH",
            "license": "35074083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "35.074083",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ahsan.khan3@va.gov",
            "affiliation": "Y",
            "endpointDescription": "Business Email",
            "affiliationName": "RALPH H. JOHNSON VA MEDICAL CENTER",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "communication",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "109 Bee St",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294015703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.