Organization Active NPI

Taslim a Khattak MD

  • Internal Medicine Physician
  • Cordova, TN
National Provider Identifier
1891943601
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD29699 Issued in TN
Legal business name
TASLIM A KHATTAK MD
Practice address
801 Cairn Creek Dr
Cordova, TN 38018-6446
Phone
(901) 255-1140
NPI assigned
Sep 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Taslim A Khattak, MDNPI 1679540298
Title
Owner
Phone
(901) 255-1140

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD29699 TN Primary

Addresses

Primary practice location

801 Cairn Creek Dr
Cordova, TN 38018-6446

Mailing address

PO Box 17851
Memphis, TN 38187-0851
Phone (901) 255-1140

National Provider Directory

National Provider Directory

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": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1891943601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17851",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381870851",
            "telephone_number": "901-255-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CAIRN CREEK DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186446",
            "telephone_number": "901-255-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASLIM A KHATTAK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "KHATTAK",
        "authorized_official_first_name": "TASLIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-255-1140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD29699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.