Individual provider Active NPI

Ataur-Rehman Rizwan Khan, M.D.

  • Specialist
  • Cypress, TX
National Provider Identifier
1790710648
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L6461 Issued in TX
Practice address
21212 Northwest Frwy. Ste 555
Northwest Cardiology Consultants, P.a.
Cypress, TX 77429
Phone
(281) 955-0786
Fax
(281) 955-8848
NPI assigned
Jul 11, 2006
Last updated
Mar 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L6461 TX
Specialist 174400000X L6461 TX Primary

Addresses

Primary practice location

21212 Northwest Frwy. Ste 555
Northwest Cardiology Consultants, P.a.
Cypress, TX 77429

Mailing address

21212 Northwest Frwy. Ste 555
Northwest Cardiology Consultants, P.a.
Cypress, TX 77429
Phone (281) 955-0786

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1790710648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21212 NORTHWEST FRWY. STE 555",
            "address_2": "NORTHWEST CARDIOLOGY CONSULTANTS, P.A.",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "281-955-0786",
            "fax_number": "281-955-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21212 NORTHWEST FRWY. STE 555",
            "address_2": "NORTHWEST CARDIOLOGY CONSULTANTS, P.A.",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "281-955-0786",
            "fax_number": "281-955-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ATAUR-REHMAN",
        "middle_name": "RIZWAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L6461",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L6461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.