NPIMap

Organization Active NPI

Imran a. Khan, M.D., Inc.

  • Internal Medicine Physician
  • Concord, CA
National Provider Identifier
1689623118
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A95175 Issued in CA
Legal business name
IMRAN A. KHAN, M.D., INC.
Practice address
1455 Galindo St Apt 2356
Concord, CA 94520-6708
Phone
(530) 510-1758
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Imran A Khan, M.D.
Title
President
Phone
(530) 510-1758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A95175 CA Primary

Addresses

Primary practice location

1455 Galindo St Apt 2356
Concord, CA 94520-6708

Mailing address

1455 Galindo St Apt 2356
Concord, CA 94520-6708
Phone (530) 510-1758

Other identifiers 1

IdentifierTypeStateIssuer
A95175OtherCALICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1689623118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 GALINDO ST APT 2356",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945206708",
            "telephone_number": "530-510-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 GALINDO ST APT 2356",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945206708",
            "telephone_number": "530-510-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMRAN A. KHAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-510-1758",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A95175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A95175",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.