TARIQ A. KHAN (NPI# 1861401127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861401127 |
| Entity Type | Individual |
| Full Name | TARIQ A. KHAN |
| Credential | M.D. |
| Practice Address |
7900 Airways Blvd Bldg A Suite 3a Southaven MS 38671-4113 |
| Mailing Address |
Po Box 40895 Memphis TN 38174-0895 |
| Practice Telephone | 6623496113 |
| Practice Fax Number | 6623496188 |
| Mailing Telephone | 6623496113 |
| Mailing Fax Number | 6623496188 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 15809 | MS | Other Service Providers |
| N | 174400000X | Specialist | MD29458 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE | 100014658 | 01 |
| TN | 3815396 | 05 | |
| AR | 132145001 | 05 | |
| TN | BLUE CROSS | 3150548 | 01 |
| MS | 00118746 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396804662 | Tariq Asadullah Khan | Internal Medicine | Aat Suite 5300, 800 Stanton L Young Blvd, Oklahoma City, OK 73104 | 2006-12-06 |
| 1831112473 | Tariq Jamil Khan | Internal Medicine | 4882 E Main St Ste 210, Columbus, OH 43213 | 2006-07-25 |
| 1922002906 | Tariq Mahmood Khan | Pediatrics | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2005-06-08 |
| 1295176675 | Tariq Hasin Khan | Family Medicine | 111 Spring St, 3rd Floor, Streator, IL 61364-3332 | 2013-07-12 |
| 1659662674 | Tariq Rahman Khan | Emergency Medicine | 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112-3200 | 2011-04-25 |
| 1750608899 | Tariq Rafiq Khan | Pediatrics | 817 E 180th St, Bronx, NY 10460-1305 | 2010-04-29 |
| 1295925253 | Tariq A Khan | Internal Medicine | 14642 Newport Ave, Suite 408, Tustin, CA 92780-6091 | 2007-07-26 |
| 1346456092 | Tariq Nawaz Khan | Transplant Surgery | 1325 Pennsylvania Ave Ste 450, Fort Worth, TX 76104-2191 | 2007-05-16 |
| 1013928282 | Tariq J Khan | Internal Medicine | 8421 Pointe Loop Dr, Venice, FL 34293 | 2006-08-11 |
| 1750391298 | Tariq Khan | Emergency Medicine | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2006-08-08 |
| Street Address |
7900 AIRWAYS BLVD BLDG A SUITE 3A |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184602450 | Tammy Louise Carnahan | Nurse Practitioner | 7900 Airways Blvd, Building A Suite 6, Southaven, MS 38671-4113 | 2006-01-05 |
| 1851792352 | Physiotherapy Associates | Clinic/Center | 7900 Airways Blvd, Building A Suite 2, Southaven, MS 38671-4113 | 2014-09-16 |
| 1295904704 | Pas of Memphis, Inc. | Anesthesiology | 7900 Airways Blvd, Building C, Suite 2, Southaven, MS 38671-4113 | 2008-02-28 |
| 1356478606 | Cecelia Annita Brown | Physical Therapist | 7900 Airways Blvd, Bldg A, Ste 2, Southaven, MS 38671-4113 | 2007-02-27 |
| 1154403962 | Alok Kumar | Obstetrics & Gynecology | 7900 Airways Blvd, Bldg C Suite 2, Southaven, MS 38671-4114 | 2006-10-20 |
| 1689772873 | Physiotherapy Associates Inc | Clinic/Center | 7900 Airways Blvd, Bldg A, Suite 2, Southaven, MS 38671-4113 | 2006-09-20 |
| 1104835461 | Premier Gastroenterology, P. C. | Specialist | 7900 Airways Blvd, Bldg A Ste 3a, Southaven, MS 38671-4113 | 2006-08-05 |
| 1174501449 | Walter Earl Carnahan | Family Medicine | 7900 Airways Blvd, Bldg A Suite 6, Southaven, MS 38671-4113 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710134945 | Desoto Thyroid and Endocrinology | Specialist | 5960 Getwell Rd, Suite 212-d, Southaven, MS 38672-7318 | 2008-08-19 |
| 1821268236 | Whitehaven Ob-gyn, P.C. | Specialist | 60 Physicians Ln Ste 2, Southaven, MS 38671-6122 | 2008-03-03 |
| 1578775573 | Otolaryngology Associates of The Midsouth | Specialist | 975 Swinnea Ridge, Suite 1, Southaven, MS 38671 | 2007-05-04 |
| 1508972365 | Hai Van Dang | Specialist | 7640 Clarington Cv, Suite B, Southaven, MS 38671-5652 | 2006-08-22 |
| 1679588974 | Rome Sherrod II | Specialist | 835 Brandywine Dr, Suite 102, Southaven, MS 38671-2434 | 2006-07-29 |
| 1447282991 | Mukesh Jain | Specialist | 7615 Clarington Cv, Southaven, MS 38671-5647 | 2006-07-07 |
| 1073567251 | Olufemi Adeleye | Specialist | 1890 Goodman Rd E, Suite 101, Southaven, MS 38671-9504 | 2006-05-20 |
| 1588089288 | Southaven Sleep Clinic | Specialist | 7420 Guthrie Dr N, Suite 110, Southaven, MS 38671-5876 | 2014-03-04 |
| 1780810614 | Prethi Vaddadi | Specialist | 7736 Airways Blvd, Southaven, MS 38671-5306 | 2009-06-05 |
| 1104007558 | Lee Grimm, M.d., P.C. | Specialist | 7580 Clarington Cv, Suite 3, Southaven, MS 38671-5657 | 2007-11-14 |
| Find all providers in SOUTHAVEN | ||||
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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.