Individual provider Active NPI

Kishan Das Khurana, MD

  • Family Medicine Physician
  • Westland, MI
National Provider Identifier
1689622805
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
KK031682 Issued in MI
Practice address
37662 Ford Rd
Westland, MI 48185-1924
Phone
(734) 326-6300
Fax
(734) 326-0882
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X KK031682 MI Primary

Addresses

Primary practice location

37662 Ford Rd
Westland, MI 48185-1924

Mailing address

37662 Ford Rd
Westland, MI 48185-1924
Phone (734) 326-6300

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

LicenseStateTypeSpecialty
KK031682MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Medical P.C Past Accepting new patients
Oak Neurovascular P.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1689622805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37662 FORD RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851924",
            "telephone_number": "734-326-6300",
            "fax_number": "734-326-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37662 FORD RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851924",
            "telephone_number": "734-326-6300",
            "fax_number": "734-326-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURANA",
        "first_name": "KISHAN",
        "middle_name": "DAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "KK031682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.