Organization Active NPI

Mahmood a. Khan, M.D., P.C.

  • Internal Medicine Physician
  • Amsterdam, NY
National Provider Identifier
1861697773
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
225526 Issued in NY
Legal business name
MAHMOOD A. KHAN, M.D., P.C.
Practice address
5032 State Highway 30
Amsterdam, NY 12010-7534
Phone
(518) 842-0200
Fax
(518) 388-9911
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tahira Khan
Title
Office Manager
Phone
(518) 842-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 225526 NY Primary

Addresses

Primary practice location

5032 State Highway 30
Amsterdam, NY 12010-7534

Mailing address

5032 State Highway 30
Amsterdam, NY 12010-7534
Phone (518) 842-0200

National Provider Directory

National Provider Directory

Locations

5032 State Highway 30
Amsterdam, NY 12010
Phone (518) 841-3650

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861697773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5032 STATE HIGHWAY 30",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107534",
            "telephone_number": "518-842-0200",
            "fax_number": "518-388-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5032 STATE HIGHWAY 30",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107534",
            "telephone_number": "518-842-0200",
            "fax_number": "518-388-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHMOOD A. KHAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "TAHIRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-842-0200"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.