Mir Iftekhar Ali-Khan, M.D.,

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A48827 Issued in CA

Practice address

2900 E del Mar Blvd
Pasadena, CA 91107-4375

Phone

(626) 795-9901

Fax

(818) 845-0528

NPI assigned

Jul 26, 2006

Last updated

Feb 2, 2021By 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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mir Ali-Khan M D Professional Corporation

  • Psychiatry Physician
  • Burbank, CA
  • NPI 1598999286
  Medicare reassignment NPD Authorized official
• Priority Behavioral Medical Group

  • Mental Health Counselor
  • Burbank, CA
  • NPI 1134386469
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1780608638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 MILLS AVE",
            "address_2": "PO BOX 350",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "91711",
            "telephone_number": "818-845-3510",
            "fax_number": "818-845-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E DEL MAR BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074375",
            "telephone_number": "626-795-9901",
            "fax_number": "818-845-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI-KHAN",
        "first_name": "MIR",
        "middle_name": "IFTEKHAR",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A48827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raphael Alford, M.D.
• Shannon M Algeo, MA, AMFT, APCC
• Algos Inc., a Medical Corporation (Synovation Medical Group)
• Algos Inc., a Medical Corporation (Synovation Medical Group Lab)
• Annie Algren
• Liban Mohamed Ali, SUDRC
• Narma Ali, MASTER, CLINICAL PSY
• Syeda MF Ali, MD
• Alibrando Psychological Consulting, Inc (APC, Inc.)
• Sam A Alibrando, PH.D.

• Psychiatry Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.