Active NPI
Four Jewels Healthways
- Cardiovascular Disease Physician
- Charlotte, NC
National Provider Identifier
1982069928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35007
- Legal business name
- FOUR JEWELS HEALTHWAYS
- Practice address
- 320 Lillington Ave Ste 201
Charlotte, NC 28204-3189 - Phone
- (704) 347-0049
- Fax
- (704) 347-0979
- NPI assigned
- Dec 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Masood N Khan, MD. F.A.C.P
- Title
- President
- Phone
- (704) 347-0049
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35007 | NC | Primary |
Addresses
Primary practice location
320 Lillington Ave Ste 201
Charlotte, NC 28204-3189
Mailing address
320 Lillington Ave Ste 201
Charlotte, NC 28204-3189
Phone (704) 347-0049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8948892 | Medicaid | NC |
Other names 1
- Masood N Khan MD,F.A.C.P
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1588652218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450310400000",
"number": "1982069928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 LILLINGTON AVE STE 201",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043189",
"telephone_number": "704-347-0049",
"fax_number": "704-347-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 LILLINGTON AVE STE 201",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043189",
"telephone_number": "704-347-0049",
"fax_number": "704-347-0979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR JEWELS HEALTHWAYS",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-17",
"last_updated": "2015-12-17",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "MASOOD",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-347-0049",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD. F.A.C.P"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "35007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8948892",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Masood N Khan MD,F.A.C.P",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.