Mansoor A Khan, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

0101228937 Issued in VA

Practice address

501 N 6TH Ave
Hopewell, VA 23860-2618

Phone

(804) 704-2344

Fax

(804) 452-4549

NPI assigned

Mar 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Hopewell Gastroenterology PC

  • Gastroenterology Physician
  • Hopewell, VA
  • NPI 1568571685
  NPD (past)
• Pulmonary & Critical Care Associates of the Tri-Cities PC

  • Pulmonary Disease Physician
  • Hopewell, VA
  • NPI 1821057639
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1679542914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 6TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602618",
            "telephone_number": "804-704-2344",
            "fax_number": "804-452-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 6TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602618",
            "telephone_number": "804-704-2344",
            "fax_number": "804-452-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MANSOOR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101228937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010096413",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prakash Bhushan Karn, MD
• Jessica D Keller, DDS
• Tierra Lashonda Kelly, MSN. FNP-C
• James Bruce Kerr
• Key to Care Mental Health and Wellness LLC
• Mya Spencer King, D.P.T.
• Banerje Koduru, M.D.
• Kan W Kong, RPH
• KRC Hopkins LLC
• Toan La, PHARM D

• Infectious Disease Physician in Hopewell, VA
• Providers in Hopewell, VA by specialty
• Infectious Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.