Active NPI
Aemen Shams Khakwani, MD
- Rheumatology Physician
- Oklahoma City, OK
National Provider Identifier
1780212100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 40987
- Practice address
- 800 Stanton L Young Blvd # 6421
Oklahoma City, OK 73104-5018 - Phone
- (405) 271-7217
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Rheumatology Physician | 207RR0500X | 40987 | OK | Primary |
Addresses
Primary practice location
800 Stanton L Young Blvd # 6421
Oklahoma City, OK 73104-5018
Mailing address
2701 Dekalb Pike, Graduate Medical Education Office
Norristown, PA 19401
Phone (610) 278-2003
Other practice location 1
2701 Dekalb Pike, Graduate Medical Education Office
Norristown, PA 19401
Phone (610) 278-2003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40987 | OK | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1780212100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 DEKALB PIKE, GRADUATE MEDICAL EDUCATION OFFICE",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "19401",
"telephone_number": "610-278-2003",
"fax_number": "610-278-2832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 STANTON L YOUNG BLVD # 6421",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045018",
"telephone_number": "405-271-7217"
}
],
"practiceLocations": [
{
"address_1": "2701 Dekalb Pike, Graduate Medical Education Office",
"address_purpose": "LOCATION",
"city": "Norristown",
"state": "PA",
"postal_code": "19401",
"country_code": "US",
"telephone_number": "610-278-2003",
"fax_number": "610-278-2832",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAKWANI",
"first_name": "AEMEN",
"middle_name": "SHAMS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2023-07-31",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "OK",
"license": "40987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.