Organization Active NPI

Hammad O Khan, MD, Inc.

  • Interventional Cardiology Physician
  • Upland, CA
National Provider Identifier
1679908404
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A92889 Issued in CA
Legal business name
HAMMAD O KHAN, MD, INC.
Practice address
685 N 13TH Ave
Ste #11
Upland, CA 91786-4916
Phone
(909) 285-6717
Fax
(909) 946-8700
NPI assigned
Sep 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Hammad Khan, MD
Title
President
Phone
(813) 418-2313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X A92889 CA Primary

Addresses

Primary practice location

685 N 13TH Ave
Ste #11
Upland, CA 91786-4916

Mailing address

8816 Foothill Blvd
Ste 103-205
Rancho Cucamonga, CA 91730-7199
Phone (909) 285-6717

National Provider Directory

National Provider Directory

Locations

8816 Foothill Blvd
Ste 103205
Rancho Cucamonga, CA 91730

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1679908404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 FOOTHILL BLVD",
            "address_2": "STE 103-205",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307199",
            "telephone_number": "909-285-6717",
            "fax_number": "909-946-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 N 13TH AVE",
            "address_2": "STE #11",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864916",
            "telephone_number": "909-285-6717",
            "fax_number": "909-946-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMAD O KHAN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "HAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-418-2313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A92889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.