Organization Active NPI

Husman Khan MD PA

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1417142282
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME32449 Issued in FL
Legal business name
HUSMAN KHAN MD PA
Practice address
1226 SW 3Rd Ave
Ft Lauderdale, FL 33315-1507
Phone
(954) 527-0222
Fax
(954) 463-3544
NPI assigned
Sep 13, 2007
Last updated
Sep 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Husman Kahn, M.D.
Title
President
Phone
(954) 527-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME32449 FL Primary

Addresses

Primary practice location

1226 SW 3Rd Ave
Ft Lauderdale, FL 33315-1507

Mailing address

1226 SW 3Rd Ave
Ft Lauderdale, FL 33315-1507
Phone (954) 527-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080130000145 FL Part B Supplier - Clinic/Group Practice 3779665765 Receives reassigned benefits from 2 practitioners
Practice locations: Ft Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

1226 SW 3rd Ave
Ft Lauderdale, FL 33315
Phone (954) 527-0222

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1417142282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 SW 3RD AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151507",
            "telephone_number": "954-527-0222",
            "fax_number": "954-463-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 SW 3RD AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151507",
            "telephone_number": "954-527-0222",
            "fax_number": "954-463-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSMAN KHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "HUSMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-527-0222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME32449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.