Qamaruddoja Khan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01049120A Issued in IN

Practice address

10444 Sr 66
Newburgh, IN 47630-7954

Phone

(812) 853-9651

NPI assigned

Jun 1, 2005

Last updated

Jul 9, 2007By 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

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.

• The Care Group at Safe Harbor, LLC

  • Clinical Social Worker
  • Bel Air, MD
  • NPI 1629471958
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730181975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 LYNCH RD",
            "address_2": "STE 250",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477112951",
            "telephone_number": "812-485-6942",
            "fax_number": "812-485-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10444 SR 66",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307954",
            "telephone_number": "812-853-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "QAMARUDDOJA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01049120A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Kempf
• Lynn Kessler
• Audrey Dove Key, NP
• Gretchen Kendal Key, MSOT
• Mohammad Siddique Khan
• Rebecca Kieffer, RBT
• Susan Elaine Kieffer, MSCCCSLP
• Brooke Elizabeth Kiifner
• Kristin L Kilgour, N.P.
• Haylee Killian

• Internal Medicine Physician in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.