Organization Active NPI

KHC Group PC

  • Clinical Medical Laboratory
  • Frederick, MD
National Provider Identifier
1427385681
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
21D1034190 Issued in MD
Legal business name
KHC GROUP PC
Practice address
45 Thomas Johnson Dr
Frederick, MD 21702-4425
Phone
(301) 637-3350
Fax
(301) 576-5221
NPI assigned
Nov 9, 2009
Last updated
Nov 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Bilal R Kaaki, M.D.
Title
President
Phone
(301) 637-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 21D1034190 MD Primary

Addresses

Primary practice location

45 Thomas Johnson Dr
Frederick, MD 21702-4425

Mailing address

5419 Hollywood Blvd
C751
Los Angeles, CA 90027-3480
Phone (301) 637-3350

National Provider Directory

National Provider Directory

Locations

5419 Hollywood Blvd
#C751
Los Angeles, CA 90027

45 Thomas Johnson Dr
Frederick, MD 21702
Phone (202) 660-5555

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1427385681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 HOLLYWOOD BLVD",
            "address_2": "C751",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273480",
            "telephone_number": "301-637-3350",
            "fax_number": "301-576-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 THOMAS JOHNSON DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024425",
            "telephone_number": "301-637-3350",
            "fax_number": "301-576-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHC GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "KAAKI",
        "authorized_official_first_name": "BILAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-637-3350",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "21D1034190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.