Muhammad Ikramullah Khan

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

14D2225055 Issued in IL

Practice address

339 W River Rd
Elgin, IL 60123-1500

Phone

(847) 767-7645

NPI assigned

Aug 31, 2021

Last updated

Aug 31, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ummah Relief International

  • Clinical Medical Laboratory
  • Elgin, IL
  • NPI 1346915923
  NPD Authorized official
• Midtown Lab, Inc.

  • Clinical Medical Laboratory
  • Schaumburg, IL
  • NPI 1538874615
  Authorized official Same address or phone

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1902574502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 W RIVER RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231500",
            "telephone_number": "847-767-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W RIVER RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231500",
            "telephone_number": "847-767-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUHAMMAD",
        "middle_name": "IKRAMULLAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "IL",
            "license": "14D2225055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aeisha Khan
• Arsala Khan, PA-C
• Ayaima Khan
• Haris Saleem Khan, DPM
• Mahrukh Khan, PA-C
• Muhammad Jawed Khan, MD
• Roshina Khalid Khan, M.D.
• Sharaf Khan, MD
• Ramesh R Khanna, M.D.
• Humaira Khatoon, MD

• Clinical Laboratory Director (Non-physician) in Elgin, IL
• Providers in Elgin, IL by specialty
• Clinical Laboratory Director (Non-physician) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.