DR. SOHAIB AHMED KHAN (NPI# 1154949584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154949584 |
| Entity Type | Individual |
| Full Name | DR. SOHAIB AHMED KHAN |
| Credential | MD |
| Practice Address |
311 W 14th St Pueblo CO 81003-2705 |
| Mailing Address |
Parkview Medical Center, Gme Office 400 W. 16th Street Pueblo CO 81003 |
| Practice Telephone | 7195957585 |
| Practice Fax Number | 7195957589 |
| Mailing Telephone | 7195957585 |
| Mailing Fax Number | 7195957589 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | TL.0008358 | CO | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Parkview Medical Center, Graduate Medical Education, 400 W. 16th Street, Pueblo, CO 81003 | 7195957585 | 7195957589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538653266 | Sohaib Fazeel Khan | Student in an Organized Health Care Education/Training Program | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2018-06-16 |
| 1871988618 | Sohaib Mohammad Khan | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave # Ms 1050, Graduate Medical Education, Toledo, OH 43614-2595 | 2015-03-30 |
| 1720497407 | Sohaib Khalid Khan | Pharmacist | 134 State St, Walgreens Pharmacy, Meriden, CT 06450-3293 | 2014-08-07 |
| Street Address |
311 W 14TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073522595 | Teresa Kay Braden | Emergency Medicine | 311 W 14th St, Pueblo, CO 81003-2705 | 2006-08-05 |
| 1811598907 | Amira Bakkar | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-11-04 |
| 1497373682 | Manaquibb Zain Ali Shaheer Khan | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-07-14 |
| 1427678986 | Blayne Anne Knapp | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-24 |
| 1053931980 | David Allen Mcmillan | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-21 |
| 1699395822 | Neil Ashok Patel | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-17 |
| 1992325104 | Mena Maher Tawfik | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-17 |
| 1477173607 | Joseph Jared Beier | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-17 |
| 1699336164 | Faisal Mahfooz | Internal Medicine | 311 W 14th St, Pueblo, CO 81003-2705 | 2019-06-25 |
| 1356904015 | Rahul Dave Bhaskar | Internal Medicine | 311 W 14th St, Pueblo, CO 81003-2705 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1003276528 | Rachel Elizabeth Black | Student in an Organized Health Care Education/Training Program | 5306 Outlook Blvd Unit 101, Pueblo, CO 81008-1399 | 2016-02-25 |
| 1487041331 | Joshua Jay Borer | Student in an Organized Health Care Education/Training Program | 786 N Boyero Ave, Pueblo, CO 81007-1299 | 2015-04-17 |
| 1811598907 | Amira Bakkar | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-11-04 |
| 1497373682 | Manaquibb Zain Ali Shaheer Khan | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-07-14 |
| 1427678986 | Blayne Anne Knapp | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-24 |
| 1881214567 | Nathan S Grigg | Student in an Organized Health Care Education/Training Program | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-04-22 |
| 1053931980 | David Allen Mcmillan | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-21 |
| 1699395822 | Neil Ashok Patel | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-17 |
| 1992325104 | Mena Maher Tawfik | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-17 |
| Find all providers in PUEBLO | ||||
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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.