S Ismail Bokhari, MD, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

11041 Issued in AZ

Legal business name

S ISMAIL BOKHARI, MD, PC

Practice address

1720 E Beverly Ave
Suite B
Kingman, AZ 86409-3567

Phone

(928) 757-1333

Fax

(928) 757-2367

NPI assigned

Oct 2, 2006

Last updated

May 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Syed Ismail Bokhari, M.D.

Title

Physician,Owner

Phone

(928) 757-1333

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

S Ismail Bokhari MD PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• S Ismail Bokhari, M.D., P.C.

  • Internal Medicine Physician
  • Kingman, AZ
  • NPI 1164508370
  NPD tax ID
• S Ismail Bokhari, M.D., P.C.

  • Internal Medicine Physician
  • Kingman, AZ
  • NPI 1962583831
  NPD tax ID
• S Ismail Bokhari, M.D., P.C.

  • Internal Medicine Physician
  • Kingman, AZ
  • NPI 1982780193
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• S Ismail Ah Bokhari Sr., M.D.

  • Cardiovascular Disease Physician
  • Kingman, AZ
  • NPI 1205050655
  Medicare reassignment NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1689767444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E BEVERLY AVE",
            "address_2": "SUITE B",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093567",
            "telephone_number": "928-757-1333",
            "fax_number": "928-757-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E BEVERLY AVE",
            "address_2": "SUITE B",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093567",
            "telephone_number": "928-757-1333",
            "fax_number": "928-757-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S ISMAIL BOKHARI, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "BOKHARI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "ISMAIL",
        "authorized_official_title_or_position": "PHYSICIAN,OWNER",
        "authorized_official_telephone_number": "928-757-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "11041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206640",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Conrad Rucker
• Tiffany E Russell, MD
• S Ismail Bokhari, M.D., P.C.
• S Ismail Bokhari, M.D., P.C.
• S Ismail Bokhari, M.D., P.C.
• Saadeh A Saadeh, MD
• Safeway Inc (Safeway Pharmacy #1887)
• Sage Counseling, Inc.
• Hesham Sahawneh, DO
• Annalisa Saiz, BSN

• Cardiovascular Disease Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.