DR. MOHAMMAD MUSHTAQ KHAN (NPI# 1104841147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104841147 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMAD MUSHTAQ KHAN |
| Credential | M.D. |
| Practice Address |
1025 W 24th St Suite #27 Yuma AZ 85364-8366 |
| Practice Telephone | 9283449000 |
| Practice Fax Number | 9283449002 |
| Mailing Telephone | 9283449000 |
| Mailing Fax Number | 9283449002 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
13786 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 222860 | 01 |
| AZ | BLUECROSS BLUESHIELD | AZ0387310 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1609336668 | Mohammad Ali Khan | Student in an Organized Health Care Education/Training Program | 12531 Quarterhorse Dr, Bowie, MD 20720-4328 | 2019-03-24 |
| 1740754399 | Mohammad S Khan | Pharmacy | 41 Grant St Apt 1, Yonkers, NY 10704-2362 | 2019-01-17 |
| 1497242382 | Mohammad Ahmad Khan | Student in an Organized Health Care Education/Training Program | 15000 W Airport Blvd Apt 1133, Sugar Land, TX 77498-7259 | 2018-04-17 |
| 1669979563 | Mohammad Junayed Khan | Student in an Organized Health Care Education/Training Program | 869 Andover Rd, Lansdale, PA 19446-1811 | 2018-04-09 |
| 1366952897 | Mohammad Abbas Khan | Dentist | 237 Worthen Rd E, Lexington, MA 02421-6129 | 2017-10-11 |
| 1659791663 | Mohammad Ibraheem Khan | Internal Medicine | Stony Brook Ufpc Practice 101 Nicolls Road Hsc T17-060, Stony Brook, NY 11794-6999 | 2014-04-17 |
| 1356696504 | Mohammad Arsalan Khan | Dentist | 4114 Medical Drive Apt #25107, San Antonio, TX 78229-4034 | 2012-07-13 |
| 1750687786 | Mohammad Mussadiq Khan | Surgery | 4245 Altura Mesa Ln Ne, Albuquerque, NM 87110-5058 | 2011-02-09 |
| Street Address |
1025 W 24TH ST SUITE #27 |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-8366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982696795 | Julie Ann Dance | Advanced Practice Midwife | 1025 W 24th St, Suite 28, Yuma, AZ 85364-8366 | 2005-08-17 |
| 1629475272 | Yuma Hearing Inc. | Hearing Aid Equipment | 1025 W 24th St, Suite 1, Yuma, AZ 85364-8366 | 2014-11-25 |
| 1861899411 | Sara Krueger | Hearing Instrument Specialist | 1025 W 24th St, Suite 1, Yuma, AZ 85364-8366 | 2014-11-25 |
| 1659675262 | Paula Anne Ashurst | Physician Assistant | 1025 W 24th St, Yuma, AZ 85364-8366 | 2010-12-23 |
| 1770818130 | Az Dermatology, LLC | Specialist | 1025 W 24th St, Suite 5, Yuma, AZ 85364-8366 | 2009-10-02 |
| 1316192024 | Mohammad M Khan M.d. | Internal Medicine | 1025 W 24th St, Suite #27, Yuma, AZ 85364-8366 | 2008-11-21 |
| 1144476821 | Darrell Leroy Scheetz | General Practice | 1025 W 24th St, Suite 18, Yuma, AZ 85364-8366 | 2008-08-13 |
| 1023273463 | Nader M Haddad | Obstetrics & Gynecology | 1025 W 24th St, Suite 22, Yuma, AZ 85364-8366 | 2008-07-24 |
| 1538337548 | Julie Dance Pllc | Advanced Practice Midwife | 1025 W 24th St, Suite 28, Yuma, AZ 85364-8366 | 2008-02-12 |
| 1568641389 | Advanced Home Healthcare Services of Yuma,l.l.c | Home Health | 1025 W 24th St, Suite 22, Yuma, AZ 85364-8366 | 2007-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1891945275 | Yuma Heart Institute, LLC | Internal Medicine | 1773 West 24th Street Suite B, Yuma, AZ 85364 | 2008-09-23 |
| 1770608275 | Sharon Shahrzad Sadeghinia | Internal Medicine | 2281 W 24th St Ste 12, Yuma, AZ 85364-6197 | 2007-03-21 |
| 1386742864 | Khidir A Osman | Internal Medicine | 789 W 27th St, Suite 1, Yuma, AZ 85364-7207 | 2006-09-20 |
| 1962507632 | Tony T P Chee | Internal Medicine | 1773 W 24th St, Ste B, Yuma, AZ 85364-6230 | 2006-09-14 |
| 1366475394 | Noel Gutierrez | Internal Medicine | 789 W 27th St Ste 1, Yuma, AZ 85364-7207 | 2006-07-10 |
| 1598735045 | Alberto Mejia | Internal Medicine | 2400 S Avenue, Yuma, AZ 85364-7127 | 2006-01-26 |
| 1568432193 | Joseph Anthony Cardenas | Internal Medicine | 1975 W 24th St, Yuma, AZ 85364-6105 | 2006-01-25 |
| 1447242458 | Sugata Das | Internal Medicine | 1965 W 24th St, Suite B, Yuma, AZ 85364-6244 | 2005-08-16 |
| 1164052783 | Poudre Valley Medical Group, LLC | Internal Medicine | 1000 W 8th Ave, Yuma, CO 80759-2641 | 2020-01-23 |
| 1518311687 | Cardiovascular Specialist PC | Internal Medicine | 2281 W 24th St, Ste 12, Yuma, AZ 85364-6154 | 2016-04-14 |
| Find all providers in YUMA | ||||
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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.