ANNUM KHAN (NPI# 1871045773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871045773 |
| Entity Type | Individual |
| Full Name | ANNUM KHAN |
| Credential | PA-C |
| Practice Address |
1750 Tysons Blvd Ste 120 Mc Lean VA 22102-4227 |
| Mailing Address |
11350 Mccormick Rd Executive Plaza 1 Ste 501 Hunt Valley MD 21031 |
| Practice Telephone | 7039148000 |
| Practice Fax Number | 7036421876 |
| Mailing Telephone | 7037384331 |
| Mailing Fax Number | 7036421876 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110005341 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10340 Spotsylvania Ave, Suite 101, Fredericksburg, VA 224088608 | 5403743164 | 5408991342 |
| 5500 Friendship Blvd Ste 450, Chevy Chase, MD 208157219 | 7039148000 | 7036421876 |
| Street Address |
1750 TYSONS BLVD STE 120 |
| City | MC LEAN |
| State | VA |
| Zip Code | 22102-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487621462 | Mayo F Friedlis | Physical Medicine & Rehabilitation | 1750 Tysons Blvd Ste 120, Mc Lean, VA 22102-4227 | 2006-03-08 |
| 1760872410 | Physical Medicine Associates, Ltd | Physical Medicine & Rehabilitation | 1750 Tysons Blvd Ste 120, Mc Lean, VA 22102-4227 | 2015-02-03 |
| 1003085093 | Andrew E. Holzman | Ophthalmology | 1750 Tysons Blvd Ste 120, Mc Lean, VA 22102-4227 | 2008-02-25 |
| 1003884560 | Physical Medicine Associates, Ltd | Pain Medicine | 1750 Tysons Blvd Ste 120, Mc Lean, VA 22102-4227 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686249 | Partnerships In Care Corporation | In Home Supportive Care | 8200 Greensboro Drive, Mclean, VA 22102 | 2019-02-25 |
| 1124597919 | Choi Ying Hoo | Massage Therapist | 8347a Greensboro Dr, Yulli Therapeutic Healing Center, Tysons Corner Mclean, VA 22102 | 2018-11-21 |
| 1063998086 | Golden Angel Care LLC | In Home Supportive Care | 1765 Greensboro Station Pl Ste 900, Mc Lean, VA 22102 | 2018-07-12 |
| 1699278291 | Chukwudi Luke Onwuka | Behavior Technician | 1651 Old Meadow Road Suite 600, Mclean, VA 22102 | 2018-03-10 |
| 1861901969 | Behavior Health Inc | Psychiatry & Neurology | 8000 Westpark Drive, Suite 140, Mclean, VA 22102 | 2017-09-21 |
| 1487013504 | Sharon Simon | Nurse Practitioner | 1430 Spring Hill Rd Ste 103, Mc Lean, VA 22102 | 2016-02-17 |
| 1699130336 | Somatus, Inc. | Case Management | 1861 International Drive Suite 600, Mclean, VA 22102 | 2015-12-23 |
| 1225388580 | Victoria A Bacsardi | Social Worker | 8008 Westpark Dr Ste 315, Mc Lean, VA 22102 | 2012-09-14 |
| 1962757336 | Ramiro Wladimir Lizano Santamaria | Pediatrics | Children's Heart Institute, P. O Box 10066, Mclean, VA 22102 | 2012-07-20 |
| 1538302047 | Crystal St. Clair | Anesthesiology | 8008 Westpark Dr., Mclean, VA 22102 | 2009-04-14 |
| Find all providers in zip 22102 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861911364 | Milagros Rocio Shepard | Physician Assistant | 1359 Beverly Rd, Mc Lean, VA 22101-3666 | 2017-09-15 |
| 1740663939 | Carly Jo Nola | Physician Assistant | 1420 Spring Hill Rd Ste 210, Mc Lean, VA 22102-3006 | 2015-07-07 |
| 1891831657 | Tiffany Loe | Physician Assistant | 8201 Greensboro Dr, Suite 1003, Mc Lean, VA 22102-3810 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1902432644 | Madison Alexis Cooper | Physician Assistant | 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 | 2020-03-13 |
| 1285296111 | Kimberly Stewart Hugo | Physician Assistant | 10932 Point Grey Road, Henrico, VA 23233-2429 | 2019-07-01 |
| 1558824698 | Jessica Leigh Pacuch | Physician Assistant | 2440 Raphine Rd, Raphine, VA 24472-2541 | 2019-04-06 |
| 1073074431 | Nicholas Alexander Jones | Physician Assistant | 924 Parley Pl, Chesapeake, VA 23323-4135 | 2019-03-28 |
| 1003371410 | Ryan Timothy Pyles | Physician Assistant | 25 Commerce Park Drive, Raphine, VA 24472 | 2019-02-11 |
| 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.