Tahir Hassan Khan MD PA Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TAHIR HASSAN KHAN MD PA INC

Doing business as

Tahir Hassan Khan MD PA INC

Practice address

12305 Willscott PL
Glen Allen, VA 23059-7621

Phone

(804) 441-9000

Fax

(804) 441-9001

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Tahir Khan, MDNPI 1942250378

Title

Owner

Phone

(804) 441-9000

Specialties & licenses 1

Addresses

Other names 1

• Tahir Hassan Khan MD PA INC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

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.

• Tahir Khan, M.D.

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1942250378
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1881448017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12305 WILLSCOTT PL",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230597621",
            "telephone_number": "804-714-6291",
            "fax_number": "804-522-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12305 WILLSCOTT PL",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230597621",
            "telephone_number": "804-441-9000",
            "fax_number": "804-441-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHIR HASSAN KHAN MD PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "TAHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-441-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tahir Hassan Khan MD PA INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tahir Hassan Khan MD PA INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffanie D Sutherlin, PHD, LPC, NCC, ACS
• Suzanne Frailing, LCSW, LLC
• John M Swangim, DPM
• Betty Ann Swenson, DVM
• Christian Scott Tabor, D.M.D.
• Tyree Deana Talley, CSAC-S, QMHP A/C
• Tandem Mental Health Associates, Inc.
• Tifu Tanwi
• Elaine K Tardiff, R.PH.
• Leticia Emanuelle Tartakovsky, LPC

• Internal Medicine Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.