Mohd Qaisar a Khan MD Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A31322 Issued in CA

Legal business name

MOHD QAISAR A KHAN MD INC

Practice address

1535 W Merced Ave
Ste 302
West Covina, CA 91790-3404

Phone

(626) 918-4566

NPI assigned

Sep 30, 2010

Last updated

Sep 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohd Qaisar A Khan, M.D.NPI 1487670485

Title

Owner

Phone

(626) 918-4566

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohd. Qaisar A Khan, MD

  • Cardiovascular Disease Physician
  • West Covina, CA
  • NPI 1487670485
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1780993360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE",
            "address_2": "STE 302",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-918-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE",
            "address_2": "STE 302",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-918-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHD QAISAR A KHAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHD QAISAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-918-4566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A31322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A313220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.