Organization Active NPI

Abeda Ali Khan, MD PA

  • Internal Medicine Physician
  • Columbia, MD
National Provider Identifier
1992998595
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D43323 Issued in MD
Legal business name
ABEDA ALI KHAN, MD PA
Practice address
10820 Hickory Ridge Rd
Columbia, MD 21044-3622
Phone
(410) 730-9526
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Abeda Ali Khan, MDNPI 1407894140
Title
Doctor
Phone
(410) 730-9526

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 D43323 MD Primary

Addresses

Primary practice location

10820 Hickory Ridge Rd
Columbia, MD 21044-3622

Mailing address

8118 Brookwood Farm Rd
Fulton, MD 20759-9658
Phone (410) 730-9526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100225000256 MD Part B Supplier - Clinic/Group Practice 7012051220 Receives reassigned benefits from 1 practitioner
Practice locations: Fulton, MD

National Provider Directory

National Provider Directory

Locations

10820 Hickory Ridge Rd
Columbia, MD 21044
Phone (410) 730-9526

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": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1992998595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 BROOKWOOD FARM RD",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207599658",
            "telephone_number": "410-730-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 HICKORY RIDGE RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443622",
            "telephone_number": "410-730-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABEDA ALI KHAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "ALI KHAN",
        "authorized_official_first_name": "ABEDA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "410-730-9526",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D43323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.