Active NPI
Rana Anjum Khattak, DDS
- Dentist
- Fredericksburg, VA
National Provider Identifier
1851504773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401411237
- Practice address
- 2601 Princess Anne St
Fredericksburg, VA 22401-3254 - Phone
- (540) 373-0711
- Fax
- (540) 371-7871
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401411237 | VA | Primary |
Addresses
Primary practice location
2601 Princess Anne St
Fredericksburg, VA 22401-3254
Mailing address
2601 Princess Anne St
Fredericksburg, VA 22401-3254
Phone (540) 373-0711
Other names 1
- Dr. Rana Anjum Muneer
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401411237 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851504773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 PRINCESS ANNE ST",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013254",
"telephone_number": "540-373-0711",
"fax_number": "540-371-7871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 PRINCESS ANNE ST",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013254",
"telephone_number": "540-373-0711",
"fax_number": "540-371-7871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHATTAK",
"first_name": "RANA",
"middle_name": "ANJUM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401411237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RANA",
"last_name": "MUNEER",
"middle_name": "ANJUM",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.