Active NPI
Abraham Khan
- Internal Medicine Physician
- Tampa, FL
National Provider Identifier
1992183636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME135964
- Practice address
- 15303 Amberly Dr Ste a
Tampa, FL 33647 - Phone
- (813) 574-2460
- NPI assigned
- May 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME135964 | FL | Primary |
Addresses
Primary practice location
15303 Amberly Dr Ste a
Tampa, FL 33647
Mailing address
1868 Highland Oaks Blvd Ste B
Lutz, FL 33559-7413
Phone (813) 574-2460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1992183636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1868 HIGHLAND OAKS BLVD STE B",
"city": "LUTZ",
"state": "FL",
"postal_code": "335597413",
"telephone_number": "813-574-2460",
"fax_number": "813-949-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15303 AMBERLY DR STE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "33647",
"telephone_number": "813-574-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ABRAHAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-14",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME135964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.