DR. SIDDIQ A. KHAN (NPI# 1811339203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811339203 |
| Entity Type | Individual |
| Full Name | DR. SIDDIQ A. KHAN |
| Credential | M.D. |
| Practice Address |
520 S. Pierce Ave. Suite 150 Mason City IA 50401 |
| Mailing Address |
2201 N Broadwell Ave Grand Island NE 68803-2153 |
| Practice Telephone | 6414945000 |
| Practice Fax Number | 3083895111 |
| Mailing Telephone | 3083823660 |
| Mailing Fax Number | 3083895111 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 4301102709 | MI | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | ME 116020 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | V.A. MEDICAL | 1811339203 | 01 |
| Street Address |
520 S. PIERCE AVE. SUITE 150 |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1295175271 | Cherielynn S Wagner | Family Medicine | 621 S Illinois Ave Ste 100, Mason City, IA 50401 | 2013-07-05 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313124 | Larry Paul Welder | General Practice | 1217 K Ave, Nevada, IA 50201-1943 | 2020-10-12 |
| 1619594819 | Jeffrey Everett Simons | General Practice | 1600 Nw 114th St, Clive, IA 50325-7071 | 2020-07-03 |
| 1598305021 | Taffe Wellness Center PC | General Practice | 105 S Phillips St, Algona, IA 50511-2848 | 2020-01-13 |
| 1578124921 | Lmmc Des Moines Lllp | General Practice | 1300 37th St Ste 1, West Des Moines, IA 50266-1900 | 2019-06-26 |
| 1861951568 | Lmmc Council Bluffs Lllp | General Practice | 20 Power Dr Ste 5, Council Bluffs, IA 51501-7701 | 2019-03-13 |
| 1265919948 | Oelwein Community Healthcare Foundation | General Practice | 2405 Rock Island Road, Oelwein, IA 50662-5066 | 2018-07-25 |
| 1447638960 | Joel H Silver | General Practice | 2000 N Court St Trlr 4c, Fairfield, IA 52556-2078 | 2015-05-16 |
| 1619397288 | Deanna Mcgarity | General Practice | 4511 Crestmoor Dr, Des Moines, IA 50310-3794 | 2014-04-22 |
| 1235475088 | New Leaf Wellness | General Practice | 12129 University Ave Ste 1500, Clive, IA 50325-8287 | 2012-12-26 |
| 1992007090 | Keith A Plate | General Practice | 2283 Cae Dr, Iowa City, IA 52246-4515 | 2010-11-22 |
| Find all providers with the same taxonomy | ||||
| City | MASON CITY |
| Zip Code | 50401 |
Please comment or provide details below to improve the information on DR. SIDDIQ A. 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.