Active NPI
Aslam M Khan MD PA
- Cardiovascular Disease Physician
- Lauderdale Lakes, FL
National Provider Identifier
1457549982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME38195
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aslam M Khan, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049054700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Interventional Cardiology Physician
- Lauderdale Lakes, FL
- NPI 1982631750
-
- Adult Health Nurse Practitioner
- Pembroke Pines, FL
- NPI 1184243065
-
- Family Nurse Practitioner
- Ft Lauderdale, FL
- NPI 1184895559
-
- Gerontology Nurse Practitioner
- Orlando, FL
- NPI 1023667680
-
- Physician Assistant
- Lauderdale Lakes, FL
- NPI 1144439431
-
- Family Nurse Practitioner
- Lauderdale Lakes, FL
- NPI 1255980066
-
- Nurse Practitioner
- Lauderdale Lakes, FL
- NPI 1992980007
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.