KHALID A KHAN (NPI# 1306814777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306814777 |
| Entity Type | Individual |
| Full Name | KHALID A KHAN |
| Credential | MD |
| Practice Address |
3200 Medical Park Dr Shawnee OK 74804-5014 |
| Mailing Address |
Po Box 14459 Oklahoma City OK 73113-0459 |
| Practice Telephone | 4058789490 |
| Practice Fax Number | 4058789492 |
| Mailing Telephone | 4057759350 |
| Mailing Fax Number | 4057759360 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2014-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 19113 | OK | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
19113 | OK | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
19113 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE RR | P00474293 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653270 | Khalid Khan | Nurse Practitioner | 9036 Highbridge Dr, Knoxville, TN 37922-1439 | 2020-09-08 |
| 1851475669 | Khalid Khan | Internal Medicine | #62 Doctors Park, Cape Girardeau, MO 63702-0718 | 2006-10-25 |
| 1639286297 | Khalid N Khan | Internal Medicine | Bridgewater State Hospital, 20 Administration Road, Bridgewater, MA 02324 | 2006-08-23 |
| 1235199241 | Khalid Y. Khan | Surgery | 141 N Roadrunner Pkwy, Suite 137, Las Cruces, NM 88011-2006 | 2006-03-24 |
| 1538168810 | Khalid Latif Khan | Ophthalmology | 216 Battle St E, Ste A, Talladega, AL 35160-2420 | 2005-07-19 |
| 1629391479 | Khalid Mahmood Khan | Pharmacist | 79 Fulton St, Riteaid Pharmacy, Middletown, NY 10940-5247 | 2010-03-08 |
| 1588753420 | Khalid M Khan | Pediatrics | 1501 N Campbell Ave, University of Arizona Medical Center Suite 4325f, Tucson, AZ 85724-5066 | 2006-10-11 |
| 1700995867 | Khalid Khan | Internal Medicine | 619 S Marion Ave, Va Medical Center Lake City (11f), Lake City, FL 32025-5808 | 2006-08-30 |
| 1932113172 | Khalid M Khan | Psychiatry & Neurology | 55 Old Nyack Tpke, Suite #601, Nanuet, NY 10954-2461 | 2006-07-27 |
| 1558388199 | Khalid Khan | Emergency Medicine | 200 Medical Park Blvd, Emergency Department, Petersburg, VA 23805-9274 | 2006-07-17 |
| Street Address |
3200 MEDICAL PARK DR |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-5014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033461975 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 3200 Medical Park Dr, Shawnee, OK 74804-5014 | 2012-10-02 |
| 1508989153 | Behavioral Medicine Associates, Inc. | Psychologist | 3200 Medical Park Dr, Shawnee, OK 74804-1744 | 2007-04-09 |
| 1841334166 | Oklahoma Spine Diagnostic and Pain Treatment Center Pllc | Pain Medicine | 3200 Medical Park Dr, Shawnee, OK 74804-5014 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657590 | Advanced Pain Management Center of Oklahoma, LLC | Anesthesiology | 7107 S Yale Ave # 288, Tulsa, OK 74136-6308 | 2018-01-24 |
| 1306229422 | Morgan Vanderlick Quality Pain Management, LLC | Anesthesiology | 1916 W C St, Jenks, OK 74037-2367 | 2015-07-07 |
| 1841692274 | Precision Pain Management LLC | Anesthesiology | 6717 S Yale Ave Ste 210, Tulsa, OK 74136-3328 | 2014-09-17 |
| 1922341635 | Physician's Acupuncture, LLC | Anesthesiology | 105 S Bryant Ave Ste 404, Edmond, OK 73034-6331 | 2013-04-01 |
| 1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
| 1578880225 | Patricia Eugenie Jumelle | Anesthesiology | 8131 S Memorial Dr Ste 100, Tulsa, OK 74133-4348 | 2010-04-20 |
| 1538482146 | George Alhaj Md, PC | Anesthesiology | 517 Nw 154th St, Edmond, OK 73013-1154 | 2010-03-10 |
| 1518129733 | Adam Joseph Wallace | Anesthesiology | 3336 E 32nd St Ste 220, Tulsa, OK 74135-4442 | 2008-06-29 |
| 1851551790 | Shawn Michael Ellis | Anesthesiology | 4345 W Memorial Rd Ste 110, Oklahoma City, OK 73134-1717 | 2008-06-13 |
| 1851581185 | Emad Samir Attallah-wasif | Anesthesiology | 10124 S Sheridan Rd, Ste B, Tulsa, OK 74133-6742 | 2007-08-01 |
| 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.