Emad A Khan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

117219 Issued in MO

Practice address

2303 Village Dr
Saint Joseph, MO 64506-4954

Phone

(816) 232-4417

Fax

(816) 671-0961

NPI assigned

Mar 9, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emadkhan@wnjrmc.allscriptsdirect.net

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.

• Shahla Ali MD PA

  • Adult Mental Health Clinic/Center
  • Allen, TX
  • NPI 1528649365
  NPD
• Sherman Grayson Hospital LLC

  • General Acute Care Hospital
  • Sherman, TX
  • NPI 1013957836
  NPD
• Visiting Doctors, PLLC

  • Internal Medicine Physician
  • Sherman, TX
  • NPI 1902382641
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1396713152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064954",
            "telephone_number": "816-232-4417",
            "fax_number": "816-671-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064954",
            "telephone_number": "816-232-4417",
            "fax_number": "816-671-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "EMAD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "117219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204835805",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100288780D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Marie Kemper, MS SLP CFY
• Derek M Kendall, DPT
• Kelly Renee Kennedy
• Kerns Family Health Care LLC
• Danyelle Dawn Kerns, NP-C
• Rintu Intekhab Khan, MD
• Ruth A Kiekhaefer, PNP
• Morgan Kieser, LPC
• Deborah A Kinnamon, APN
• Susan Lee Kirkle, ADULT PSYCH MH NP

• Psychiatry Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.