Vajih M Khan MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0031143 Issued in FL

Legal business name

VAJIH M KHAN MD PA

Practice address

585 Maitland Ave
Altamonte Springs, FL 32701-6322

Phone

(407) 265-3801

Fax

(407) 767-5983

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Vajih M Khan, M.D.NPI 1184663817

Title

President/Owner

Phone

(407) 265-4801

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Vajih M Khan

  • Internal Medicine Physician
  • Altamonte Springs, FL
  • NPI 1184663817
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1780603977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160635",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327160635",
            "telephone_number": "407-265-3801",
            "fax_number": "407-767-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016322",
            "telephone_number": "407-265-3801",
            "fax_number": "407-767-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAJIH M KHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "VAJIH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "407-265-4801",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0031143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.