WALI U KHAN (NPI# 1174521603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174521603 |
Entity Type | Individual |
Full Name | WALI U KHAN |
Credential | MD |
Practice Address |
37914 Daughtery Rd Zephyrhills FL 33541-1316 |
Mailing Address |
Po Box 48589 Tampa FL 33646-0122 |
Practice Telephone | 8137154446 |
Practice Fax Number | 8137807786 |
Mailing Telephone | 8137154446 |
Mailing Fax Number | 8137807786 |
Enumeration Date | 2005-07-08 |
Last Update Date | 2017-04-06 |
NPI Deactivation Date | 03/21/2006 |
NPI Reactivation Date | 2006-04-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME41877 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | RAILROAD MEDICARE | 060069167 | 01 |
FL | 204252500 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952467334 | Wali Khan | Dentist | 1221 White Plains Rd, Suite 106, Bronx, NY 10472-4937 | 2006-12-29 |
Street Address |
37914 DAUGHTERY RD |
City | ZEPHYRHILLS |
State | FL |
Zip Code | 33541-1316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679536270 | American Heart Institute Inc | Internal Medicine | 37914 Daughtery Rd, Zephyrhills, FL 33541-1316 | 2006-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619470788 | Esnath Prudence Powe | Registered Nurse | 6105 Merrifield Drive, Zepityrhills, FL 33541 | 2018-03-14 |
1932649993 | Jose L Bonilla | Nurse Anesthetist, Certified Registered | 7050 Gall Blvd., Zephyrhills, FL 33541 | 2017-02-24 |
1447502364 | Patricia Nicole Fleming | Massage Therapist | 7050 Gall Boulevard, Zephyrhills, FL 33541 | 2012-10-03 |
1922235290 | Shanna Rhea Preston Allen | Speech-Language Pathologist | 35015 Meadow Reach Dr, Zephyrhills, FL 33541 | 2009-06-15 |
1275724726 | Leonel A Pastora | Durable Medical Equipment & Medical Supplies | 4845 Allen Rd, Zephyrhills, FL 33541 | 2007-08-08 |
1275735813 | Rhonda Leslie | Developmental Therapist | 35808 Diamond Head Court, Zephyrhills, FL 33541 | 2007-06-05 |
1912127838 | Connie Lea Yeomon | Licensed Practical Nurse | 37918 Medical Arts Ct, Zephyrhills, FL 33541 | 2007-04-26 |
1972723898 | Ida F Schultz | Licensed Practical Nurse | 37922 Medical Arts Court, Zephyrhills, FL 33541 | 2007-04-26 |
1679615868 | Edward F Bishara | Pharmacist | 36348 State Road 54, Zephyrhills, FL 33541 | 2007-02-13 |
1588718647 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6844 Gall Boulevard, Zephyrhills, FL 33541 | 2007-01-23 |
Find all providers in zip 33541 |
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 |
---|---|---|---|---|
1326095894 | Vikas R Soma | Internal Medicine | 38035 Medical Center Ave, Zephyrhills, FL 33540-1384 | 2006-05-28 |
1689939910 | Sabry Ahmad Omar | Internal Medicine | 6833 Medical View Ln, Zephyrhills, FL 33542-6614 | 2012-07-12 |
1265759898 | Aalok Dilipkumar Patel | Internal Medicine | 38035 Medical Center Ave, Zephyrhills, FL 33540-1384 | 2010-04-21 |
1871783217 | Chetan Khamare | Internal Medicine | 38035 Medical Center Ave, Zephyrhills, FL 33540 | 2007-08-01 |
1275671745 | Bay Area Medical Clinic Pa | Internal Medicine | 37900 Daughtery Rd, Zephyrhills, FL 33541-1316 | 2007-02-04 |
1902950298 | Ramanath S Rao Md Pa | Internal Medicine | 37852 Medical Arts Ct, Zephyrhills, FL 33541-4325 | 2007-01-23 |
1356430623 | Ketul Chauhan | Internal Medicine | 38035 Medical Center Avenue, Zephyrhills, FL 33540-1384 | 2006-10-12 |
1659384964 | Vladimir Curkovic | Internal Medicine | 38135 Market Square, Zephyrhills, FL 33542 | 2006-08-15 |
1902812951 | Shafqat Farooqi | Internal Medicine | 38135 Market Square, Zephyrhills, FL 33542 | 2006-07-31 |
1922043157 | Huy D Khuu | Internal Medicine | 38035 Medical Center Ave, Zephyrhills, FL 33540-1384 | 2006-06-19 |
Find all providers in ZEPHYRHILLS |
City | ZEPHYRHILLS |
Zip Code | 33541 |
Please comment or provide details below to improve the information on WALI U KHAN.
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.