Abidi Family Practice LLC – Family Medicine Physician

Key facts

NPI: 1760061337
Entity type: Organization (NPI type 2)
Primary specialty: Family Medicine Physician 207Q00000X
Legal business name: ABIDI FAMILY PRACTICE LLC
Practice address: 401 Lowell Dr SE Ste 19
Huntsville, AL 35801-3738
Phone: (256) 801-8649
Fax: (256) 270-8175
NPI assigned: Apr 2, 2021
Organization subpart: No

Authorized official

Name: Rakhshanda Khan, MD NPI 1306105341
Title: Owner
Phone: (256) 801-8649

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Rakhshanda A Khan, M.D. Family Medicine Physician · Huntsville, AL · NPI 1306105341

Medicare reassignment NPD Authorized official AL · FAMILY MEDICINE

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
01D1044631	Abidi Family Practice, LLC 401 Lowell Dr SE, Suite 19, Huntsville, AL 35801	Provider-performed microscopy	Aug 23, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20210422002965	AL	Part B Supplier - Clinic/Group Practice	3375951718	Receives reassigned benefits from 1 practitioner Practice locations: Huntsville, AL

National Provider Directory

Interoperability endpoints

FHIR API: https://api.platform.athenahealth.com/22416/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207Q00000X			Yes

Addresses

Primary practice location

401 Lowell Dr SE Ste 19
Huntsville, AL 35801-3738

Mailing address

401 Lowell Dr SE Ste 19
Huntsville, AL 35801-3738
Phone (256) 801-8649

Other providers in Huntsville, AL

All providers in Huntsville, AL · Family Medicine Physician in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.