J. KHAN, LLC (NPI# 1003076712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003076712 |
| Entity Type | Organization |
| Organization Name | J. KHAN, LLC |
| Practice Address |
1739 E Beverly Ave Suite 221 Kingman AZ 86409-3593 |
| Practice Telephone | 9286818671 |
| Practice Fax Number | 9286818672 |
| Mailing Telephone | 9286818671 |
| Mailing Fax Number | 9286818672 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | DR. JAKULLA KHAN (OWNER) |
| Authorized Official Telephone | 9286818671 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
37755 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ MEDICAL LICENSE | 37755 | 01 |
| AZ | DEA | BK3885968 | 01 |
| Street Address |
1739 E BEVERLY AVE SUITE 221 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680686 | Lorne Franklin Taylor | Obstetrics & Gynecology | 1739 E Beverly Ave, Ste 201, Kingman, AZ 86401-3593 | 2005-06-24 |
| 1083078349 | Lisa Marie Land | Nurse Practitioner | 1739 E Beverly Ave, Suite 203, Kingman, AZ 86409-3593 | 2016-04-12 |
| 1952767394 | Alexis Gaggini | Pharmacist | 1739 E Beverly Ave, Ste 107, Kingman, AZ 86409-3593 | 2016-01-14 |
| 1871979658 | Jennie Lynn Dugo | Nurse Practitioner | 1739 E Beverly Ave, Suite #118, Kingman, AZ 86409-3593 | 2015-08-04 |
| 1508245333 | Sarah Lybrand | Physician Assistant | 1739 E Beverly Ave, Suite 102, Kingman, AZ 86409-3593 | 2015-05-26 |
| 1215315718 | Christopher Ryan Walsh | Nurse Practitioner | 1739 E Beverly Ave, Kingman, AZ 86409-3593 | 2015-05-15 |
| 1699052357 | Craig Stephen Kantack | Physician Assistant | 1739 E Beverly Ave, Suite #101, Kingman, AZ 86409-3593 | 2011-11-09 |
| 1205116423 | Linda Phan Williams | Pharmacist | 1739 E Beverly Ave, Ste 107, Kingman, AZ 86409-3593 | 2011-08-18 |
| 1487807848 | Annika Jeanette Bergeson | Nurse Practitioner | 1739 E Beverly Ave, Suite 106, Kingman, AZ 86409-3593 | 2008-10-29 |
| 1891991642 | Keiko Sato Fakhraie | Family Medicine | 1739 E Beverly Ave, Suite 201, Kingman, AZ 86409-3593 | 2007-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658750 | Arizona Valley Infectious Diseases Plc | Internal Medicine | 13531 E Ocotillo Rd, Scottsdale, AZ 85259-2316 | 2020-04-24 |
| 1942695978 | Odero Consultants | Internal Medicine | 7000 N 16th St Ste 120, Phoenix, AZ 85020-5524 | 2015-04-07 |
| 1194026757 | John Gregory Corcoran | Internal Medicine | 5265 East Knight Drive, Tucson, AZ 85712 | 2010-11-12 |
| 1548574320 | Ahmad Mamdouh Ahmad Salameh | Internal Medicine | 13055 W Mcdowell Rd Ste E109, Avondale, AZ 85392-6457 | 2010-08-04 |
| 1194038505 | Logan Paolo Locsin Felix | Internal Medicine | 2001 W Orange Grove Rd Ste 404, Tucson, AZ 85704 | 2010-07-15 |
| 1942430418 | Nestor Varon Md PC | Internal Medicine | 29729 N 69th Ln, Peoria, AZ 85383-3185 | 2009-07-20 |
| 1780813725 | Georgiana Georgescu | Internal Medicine | 18301 N 79th Ave Ste C136, Glendale, AZ 85308-8471 | 2009-07-13 |
| 1811126303 | Sudha Nagalingam | Internal Medicine | 1230 S Cherrybell Stra, Tucson, AZ 85713-1907 | 2009-07-06 |
| 1417117920 | Michael Amoa Asare LLC | Internal Medicine | 3555 Val Vista Drvie, Mercy Gilbert Hospital, Gilbert, AZ 85296 | 2008-06-10 |
| 1154594695 | Joseph K Zachariah, Do, PC | Internal Medicine | 4723 E Desert Park Pl, Paradise Valley, AZ 85253-2949 | 2008-04-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.