Organization Active NPI

A.K.Medical Associates.P.C

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1487855227
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD039585L Issued in PA
Legal business name
A.K.MEDICAL ASSOCIATES.P.C
Practice address
5402 W.Girard Avenue
Philadelphia, PA 19131
Phone
(215) 477-3900
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Azad Khan, M.D.NPI 1154471621
Title
President
Phone
(610) 520-9311

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD039585L PA Primary

Addresses

Primary practice location

5402 W.Girard Avenue
Philadelphia, PA 19131

Mailing address

504 Craig LN
Villanova, PA 19085-1902
Phone (610) 520-9311

Other identifiers 3

IdentifierTypeStateIssuer
001006368MedicaidPA
001958167MedicaidPA
007796244MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1487855227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 CRAIG LN",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851902",
            "telephone_number": "610-520-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 W.GIRARD AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19131",
            "telephone_number": "215-477-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.K.MEDICAL ASSOCIATES.P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-520-9311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD039585L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001006368",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001958167",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007796244",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.