Individual provider Active NPI

Nighat Zahoor Khan, MD

  • Public Health & General Preventive Medicine Physician
  • Fort Detrick, MD
National Provider Identifier
1891364659
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
0101276122 Issued in VA
Practice address
1546 Porter St
Fort Detrick, MD 21702-9234
Phone
(757) 576-6786
NPI assigned
Jun 24, 2021
Last updated
Jul 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 0101276122 VA Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 0101276122 VA

Addresses

Primary practice location

1546 Porter St
Fort Detrick, MD 21702-9234

Mailing address

1546 Porter St
Fort Detrick, MD 21702-9234
Phone (301) 619-0592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716001131 NC Practitioner - Internal Medicine 2567864648 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Physician Services CurrentSince Jul 9, 2025 Accepting new patients
Southeastern Regional Physician Services Single Specialty CurrentSince Jul 9, 2025 Accepting new patients

Locations

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

730 Oakridge Blvd
Lumberton, NC 28358
Phone (910) 738-2662

815 Oakridge Blvd
Lumberton, NC 28358
Phone (910) 738-7166

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1891364659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 PORTER ST",
            "city": "FORT DETRICK",
            "state": "MD",
            "postal_code": "217029234",
            "telephone_number": "301-619-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 PORTER ST",
            "city": "FORT DETRICK",
            "state": "MD",
            "postal_code": "217029234",
            "telephone_number": "757-576-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NIGHAT",
        "middle_name": "ZAHOOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "VA",
            "license": "0101276122",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0101276122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Detrick, MD

Sources for this page

Verify at the official NPI Registry.