Organization Active NPI

Aslam M Khan MD PA

  • Cardiovascular Disease Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1457549982
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME38195 Issued in FL
Legal business name
ASLAM M KHAN MD PA
Practice address
4900 West Oakland Park Blvd
Suite 207
Lauderdale Lakes, FL 33313
Phone
(954) 735-7550
Fax
(954) 735-9130
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Aslam M Khan, MDNPI 1982631750
Title
President
Phone
(954) 735-7550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME38195 FL Primary

Addresses

Primary practice location

4900 West Oakland Park Blvd
Suite 207
Lauderdale Lakes, FL 33313

Mailing address

4900 West Oakland Park Blvd
Suite 207
Lauderdale Lakes, FL 33313
Phone (954) 735-7550

Other identifiers 1

IdentifierTypeStateIssuer
049054700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120227000088 FL Part B Supplier - Clinic/Group Practice 6709044431 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Lauderdale, FL; Tamarac, FL; Plantation, FL; Margate, FL; Lauderdale Lakes, FL; Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

4900 W Oakland Park Blvd
Ste 207
Lauderdale Lakes, FL 33313
Phone (954) 735-7550

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1457549982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 WEST OAKLAND PARK BLVD",
            "address_2": "SUITE 207",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-735-7550",
            "fax_number": "954-735-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 WEST OAKLAND PARK BLVD",
            "address_2": "SUITE 207",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-735-7550",
            "fax_number": "954-735-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASLAM M KHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ASLAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-735-7550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME38195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049054700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.