Active NPI
Abeda Ali Khan, MD PA
- Internal Medicine Physician
- Columbia, MD
National Provider Identifier
1992998595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D43323
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abeda Ali Khan, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100225000256 | MD | Part B Supplier - Clinic/Group Practice | 7012051220 |
Receives reassigned benefits from 1 practitioner Practice locations: Fulton, MD |
National Provider Directory
National Provider DirectoryLocations
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.