Abdul T. Khan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200300628 Issued in NC

Practice address

2300 Ramsey St
Fayetteville, NC 28301-3856

Phone

(910) 822-7903

NPI assigned

Feb 23, 2006

Last updated

Jan 12, 2009By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• National Emergency Services North Carolina Inc

  • Emergency Medicine Physician
  • Kenansville, NC
  • NPI 1063493484
  NPD (past)
• Northern Indiana Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Bloomington, IN
  • NPI 1497185797
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1710952502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SAINT MARYS PKWY",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034630",
            "telephone_number": "910-867-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013856",
            "telephone_number": "910-822-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABDUL",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200300628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902521",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "141AP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rama K. Kethineni, MBBS
• Cassandra Kaylee Ketteman, APRN
• Tawnia Hope Key, AUD
• Keyahs Care
• Keys & Associates
• Rubaiyat Arefin Khan, PHARMD
• Khan's Teledentisty
• Muhammed A Khasru, M.D.
• Arthi Kachru Khazanchi, M.D
• Wedad Mohammed Khedr, M.D.

• Internal Medicine Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.