Active NPI
Qadar Khan, M.D.
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1629137666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD033303L
- Practice address
- 702 W Girard Ave
Philadelphia, PA 19123-1312 - Phone
- (215) 440-9547
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD033303L | PA | Primary |
Addresses
Primary practice location
702 W Girard Ave
Philadelphia, PA 19123-1312
Mailing address
2239 Deer Path Rd
Huntingdon Valley, PA 19006-5905
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149580 | Other | PA | BC BS OF PA |
| 02824 | Other | PA | HEALTH PARTNERS PA |
| 0062756201 | Other | PA | AMERICHOICE OF PA |
| 0006275620002 | Medicaid | PA | |
| 1001488 | Other | PA | KEYSTONE MERCY HEALTH PLA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD033303L | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1629137666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2239 DEER PATH RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190065905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 W GIRARD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191231312",
"telephone_number": "215-440-9547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "QADAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD033303L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF PA",
"identifier": "149580",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS PA",
"identifier": "02824",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE OF PA",
"identifier": "0062756201",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006275620002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTH PLA",
"identifier": "1001488",
"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 Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.