Organization Active NPI

Khalid L Khan, M.D., P.C.

  • Ophthalmology Physician
  • Talladega, AL
National Provider Identifier
1881747558
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
KHALID L KHAN, M.D., P.C.
Practice address
216 Battle St E
Suite a
Talladega, AL 35160-2420
Phone
(256) 362-1590
Fax
(256) 362-1540
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Dr. Khalid L. Khan, M.D.NPI 1538168810
Title
Owner
Phone
(256) 362-1590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

216 Battle St E
Suite a
Talladega, AL 35160-2420

Mailing address

216 Battle St E
Suite a
Talladega, AL 35160-2420
Phone (256) 362-1590

Other identifiers 1

IdentifierTypeStateIssuer
000043391MedicaidAL

National Provider Directory

National Provider Directory

Locations

2811 Dr John Haynes Dr
Ste 202
Pell City, AL 35125
Phone (256) 362-1590

216 Battle St E
Ste A
Talladega, AL 35160
Phone (256) 249-0028

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1881747558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 BATTLE ST E",
            "address_2": "SUITE A",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602420",
            "telephone_number": "256-362-1590",
            "fax_number": "256-362-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 BATTLE ST E",
            "address_2": "SUITE A",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602420",
            "telephone_number": "256-362-1590",
            "fax_number": "256-362-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALID L KHAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-362-1590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000043391",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Talladega, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.