Abdul Waheed Khan, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

01032584A Issued in IN

Practice address

1201 Main St
Crown Point, IN 46307-2716

Phone

(219) 757-6286

NPI assigned

Jun 24, 2006

Last updated

Jul 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Northwest Indiana Radiation Oncology, PC

  • Specialist
  • Crown Point, IN
  • NPI 1487684395
  Authorized official Same address or phone
• Ahk Surgical S.C.

  dba Abdul Haye Khan

  • Surgery Physician
  • Evergreen Park, IL
  • NPI 1053509448
  NPD (past)
• Suburban Radiation Oncology SC

  • Specialist
  • Olympia Fields, IL
  • NPI 1306852272
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1679509442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604610226",
            "telephone_number": "708-482-4949",
            "fax_number": "708-482-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072716",
            "telephone_number": "219-757-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABDUL",
        "middle_name": "WAHEED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01032584A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Kessler
• Kim Allen Kessler, DDS
• Kevin M Brunski DDS PC
• Key Hearing AIDS of Crown Point LLC
• Samuel Shimon Khairkar, M.D.
• Tahir M Khokher, M.D.
• Jessica Ann Kibler, PTA
• Kaley Kiepura
• Nicole Kieta
• Kristin Kikkert, PA-C

• Specialist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.