Waqar a Khan MD SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036119080 Issued in IL

Legal business name

WAQAR A KHAN MD SC

Practice address

616 Nelson LN
Westmont, IL 60559-2892

Phone

(630) 605-0886

Fax

(866) 261-3402

NPI assigned

May 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Waqar A Khan, MD

Title

Physician

Phone

63060550886

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1942434501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 NELSON LN",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592892",
            "telephone_number": "630-605-0886",
            "fax_number": "866-261-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 NELSON LN",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592892",
            "telephone_number": "630-605-0886",
            "fax_number": "866-261-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAQAR A KHAN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "WAQAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "63060550886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036119080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036119080",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1386727485",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kearsten Walker
• Stacey Renee Walker
• Courtney Wall
• Anna S Wang, O.D.
• Kevin Wang, L.AC.
• Abigail Eileen Ward
• Warmheartsllc
• Kelly Warner, DPT
• Kimberly Sue Warren, APRN, CNP
• Christine Watson, M.A., CCC-SLP

• Family Medicine Physician in Westmont, IL
• Providers in Westmont, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.