Amina Khan, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

36290 Issued in IA

Practice address

1911 S National Ave
Suite 301
Springfield, MO 65804-2213

Phone

(417) 886-5000

Fax

(417) 886-1100

NPI assigned

May 21, 2007

Last updated

Dec 1, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1619186301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 S NATIONAL AVE",
            "address_2": "SUITE 301",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042213",
            "telephone_number": "417-886-5000",
            "fax_number": "417-886-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 S NATIONAL AVE",
            "address_2": "SUITE 301",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042213",
            "telephone_number": "417-886-5000",
            "fax_number": "417-886-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AMINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "36290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619186301",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin D Wallace DMD, PC
• Kevin R Kickham LLC
• Allison Melissa Key, M.D.
• Amanda M Keys, MSW, LCSW
• Amina Khan, MD
• Azeem Khan, MD
• Mubashir Khan, MD
• Zeeshan Ali Khan, MD
• Abhaya Khatiwada, MD
• Pratik Khatiwada, MD

• Nephrology Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.