Organization Active NPI

Saira S. Khan, M.D., P.a.

  • Primary Care Clinic/Center
  • Plant City, FL
National Provider Identifier
1487994091
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME72624 Issued in FL
Legal business name
SAIRA S. KHAN, M.D., P.A.
Practice address
303 N Plant Ave
Suite 1
Plant City, FL 33563-4730
Phone
(813) 659-3328
Fax
(813) 659-3907
NPI assigned
Feb 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Authorized official

Name
Dr. Saira Sadhia Khan, M.D.NPI 1467545103
Title
President
Phone
(813) 659-3328

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
Primary Care Clinic/Center 261QP2300X ME72624 FL Primary

Addresses

Primary practice location

303 N Plant Ave
Suite 1
Plant City, FL 33563-4730

Mailing address

303 N Plant Ave
Suite 1
Plant City, FL 33563-4730
Phone (813) 659-3328

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130507000702 FL Part B Supplier - Clinic/Group Practice 5395982516 Receives reassigned benefits from 1 practitioner
Practice locations: Plant City, FL

National Provider Directory

National Provider Directory

Locations

303 N Plant Ave
Ste 1
Plant City, FL 33563
Phone (813) 659-3328

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": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1487994091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N PLANT AVE",
            "address_2": "SUITE 1",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634730",
            "telephone_number": "813-659-3328",
            "fax_number": "813-659-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N PLANT AVE",
            "address_2": "SUITE 1",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634730",
            "telephone_number": "813-659-3328",
            "fax_number": "813-659-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAIRA S. KHAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_middle_name": "SADHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-659-3328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME72624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.