Mansurur R. Khan M.D. Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A72399 Issued in CA

Legal business name

MANSURUR R. KHAN M.D. INC.

Practice address

255 E Bonita Ave
Ste 101 Building 101
Pomona, CA 91767-1923

Phone

(323) 359-5610

NPI assigned

Nov 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mansurur R Khan, M.D.

Title

President

Phone

(323) 359-5610

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1649514431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 VELTO WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917849273",
            "telephone_number": "323-359-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE",
            "address_2": "STE 101 BUILDING 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "323-359-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSURUR R. KHAN M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MANSURUR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-359-5610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A72399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "A72399",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart Mark Mann, OD
• Maria Carol Mannion
• Manuel Daniel Manrique Chavez, MD
• Cecelia Mans
• Hannah Mansky
• Usha Mantha, MD
• Roxana Manuel, PA-C
• Gabriela Manzo
• Alexander Marcial
• Marian Kehaulani Marciel, MA, MFTI

• Internal Medicine Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.