DR. MAHMOOD KHAN (NPI# 1336339175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336339175 |
| Entity Type | Individual |
| Full Name | DR. MAHMOOD KHAN |
| Other Name | DR. MAHMOOD KHAN |
| Credential | M.D. |
| Practice Address |
2002 N Stockton Hill Rd Ste 104 Kingman AZ 86401-4698 |
| Mailing Address |
1720 E Beverly Ave Ste B Kingman AZ 86409-3567 |
| Practice Telephone | 9286921010 |
| Practice Fax Number | 9286927070 |
| Mailing Telephone | 9286921010 |
| Mailing Fax Number | 9286927070 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 24503 | AZ | Allopathic & Osteopathic Physicians |
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
24503 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP NPI | 1285953950 | 01 | |
| AZ | NPPES | 1336339175 | 01 |
| AZ | 376691 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265480073 | Mahmood A Khan | Family Medicine | 5032 State Highway 30, Medical Plaza, Amsterdam, NY 12010-7534 | 2006-05-04 |
| 1255394623 | Mahmood Khan | Internal Medicine | 25880 Outer Dr, Lincoln Park, MI 48146-1553 | 2006-04-07 |
| 1417943671 | Mahmood A Khan | Anesthesiology | 11401 Interstate 30, Little Rock, AR 72209-7042 | 2005-09-23 |
| 1831551795 | Mahmood Khan | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2016-03-22 |
| 1396759536 | Mahmood A Khan | Internal Medicine | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2006-07-27 |
| 1891741120 | Mahmood R Khan | Internal Medicine | 3900 W 15th St, 507, Plano, TX 75075-7751 | 2006-05-26 |
| Street Address |
2002 N STOCKTON HILL RD STE 104 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-4698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598001893 | Tiki Brummund | Counselor | 2002 N Stockton Hill Rd Ste 104, Kingman, AZ 86401-4698 | 2012-12-14 |
| 1285953950 | Kamyab | Internal Medicine | 2002 N Stockton Hill Rd Ste 104, Kingman, AZ 86401-4698 | 2010-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1659891786 | Salim Medical, LLC | Internal Medicine | 1465 E Northern Ave, Kingman, AZ 86409-2402 | 2017-06-20 |
| 1710382767 | Naegele Medical Inc. | Internal Medicine | 3178 Western Ave, Kingman, AZ 86409-0950 | 2014-11-01 |
| 1225334840 | Sharmila Parvathaneni | Internal Medicine | 2901 N Stockton Hill Rd Ste B, Kingman, AZ 86401 | 2011-01-28 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1477654358 | Vien Xuan Nguyen | Internal Medicine | 3269 Stockton Hill Rd., Kingman Regional Medical Center, Hospital Medicine, Kingman, AZ 86409 | 2006-09-26 |
| 1720009814 | Sheila R Mane | Internal Medicine | 3535 E Andy Devine Ave, Kingman, AZ 86401-3412 | 2006-07-22 |
| 1760456032 | Mark C Carter | Internal Medicine | 2302 N Stockton Hill Rd Ste G, Kingman, AZ 86401-4100 | 2006-02-14 |
| 1558737981 | Waheed Abdul | Internal Medicine | 3269 N Stockton Hill Rd, Kingman, AZ 86409 | 2015-08-19 |
| 1376927467 | Adnan Asif Parvez Ghias | Internal Medicine | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2015-07-17 |
| 1669864690 | Premier Chronic Care Management, Pllc | Internal Medicine | 3555 Western Ave, Kingman, AZ 86409-3011 | 2015-02-27 |
| Find all providers in KINGMAN | ||||
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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.