Active NPI
Ghazala Qureshi Khokar, MD
- Pediatrics Physician
- Princeton, WV
National Provider Identifier
1841217205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 15032
- Practice address
- 608 New Hope Rd Ste 3
Princeton, WV 24740-2287 - Phone
- (304) 487-7530
- Fax
- (304) 425-5420
- NPI assigned
- Jul 15, 2006
- Last updated
- Jul 27, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 15032 | WV | Primary |
Addresses
Primary practice location
608 New Hope Rd Ste 3
Princeton, WV 24740-2287
Mailing address
608 New Hope Rd Ste 3
Princeton, WV 24740-2287
Phone (304) 487-6065
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006756344 | Medicaid | VA | |
| 0004504169 | Other | AETNA | |
| 282378 | Other | ANTHEM BCBS VA | |
| 0105664000 | Medicaid | WV | |
| 001720437 | Other | MSBCBS | |
| 875821 | Other | MAMSI |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15032 | WV | MD | Pediatrics Physician |
Interoperability endpoints
- gkhokar@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1841217205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 NEW HOPE RD STE 3",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402287",
"telephone_number": "304-487-6065",
"fax_number": "304-425-5420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 NEW HOPE RD STE 3",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402287",
"telephone_number": "304-487-7530",
"fax_number": "304-425-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOKAR",
"first_name": "GHAZALA",
"middle_name": "QURESHI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "15032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006756344",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004504169",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS VA",
"identifier": "282378",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0105664000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSBCBS",
"identifier": "001720437",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "875821",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.