Bilquis Imtiaz Khot, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

E4714 Issued in AR

Practice address

1801 Forest Hills Blvd.
Ste. 201
Bella Vista, AR 72715

Phone

(479) 876-6566

Fax

(479) 876-2933

NPI assigned

Apr 13, 2006

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

Other names 1

• Dr. Bilquis Imtiaz Bade Former name

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

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.

• Advanced Aesthetics & Wellness Center PA, Earlmd Family Medicine PA

  • Family Medicine Physician
  • Bentonville, AR
  • NPI 1811135809
  NPD (past)
• QHG of Springdale, Inc.

  • Psychologist
  • Fayettevill, AR
  • NPI 1699796342

  Geriatric Medicine

  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1407810989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FOREST HILLS BLVD.",
            "address_2": "STE. 201",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "72715",
            "telephone_number": "479-876-6566",
            "fax_number": "479-876-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FOREST HILLS BLVD.",
            "address_2": "STE. 201",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "72715",
            "telephone_number": "479-876-6566",
            "fax_number": "479-876-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOT",
        "first_name": "BILQUIS",
        "middle_name": "IMTIAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AR",
            "license": "E4714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILQUIS",
            "last_name": "BADE",
            "middle_name": "IMTIAZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole K Keller, AU.D.
• Kelly Dundon PLLC
• Mary K Kerby, APN
• Jessica Dawn Kessler, PT
• Sydney Alexis Key, ATC
• Kim D. Keisner, D.D.S., P.a.
• Julie Kinder, LCSW
• David Michael Kitchens Jr., RN
• Jessica P Koch
• Brenda Kordik

• Geriatric Medicine (Internal Medicine) Physician in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Geriatric Medicine (Internal Medicine) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.