NIDA MUMTAZ KHAN (NPI# 1255745667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255745667 |
| Entity Type | Individual |
| Full Name | NIDA MUMTAZ KHAN |
| Credential | M.D. |
| Practice Address |
401 N 17th St Ste 103 Allentown PA 18104 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 6109693070 |
| Practice Fax Number | 6109693073 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD465213 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 219 N Broad St, 3rd Floor, Philadelphia, PA 191071519 | 2157623937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190868 | Nida Khan | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-03 |
| 1295362481 | Nida Khan | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-26 |
| 1518594068 | Nida Khan | Student in an Organized Health Care Education/Training Program | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-03-25 |
| 1922599786 | Nida Khan | Occupational Therapist | 115 Sudbrook Ln Ste A, Pikesville, MD 21208-4184 | 2018-05-28 |
| 1487996138 | Nida Khan | Counselor | 42669 Garfield Rd, Clinton Township, MI 48038-5036 | 2013-03-20 |
| 1932447422 | Nida Khan | Psychiatry & Neurology | 355 Bard Ave, Staten Island, NY 10310-1664 | 2013-01-18 |
| 1619291952 | Nida M Khan | Pharmacist | 2084 State Route 208, Montgomery, NY 12549-2611 | 2010-03-16 |
| Street Address |
401 N 17TH ST STE 103 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891856225 | Veena Adusumilli | Optometrist | 401 N 17th St Ste 103, Allentown, PA 18104-5049 | 2006-12-12 |
| 1346477114 | Tomasz Adam Wiraszka | Ophthalmology | 401 N 17th St Ste 103, Allentown, PA 18104-5049 | 2009-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578857389 | David S Hyman | Ophthalmology | 1500 Wethersfield Dr, Allentown, PA 18104-1946 | 2011-06-09 |
| 1356577340 | Angela Au Barbera | Ophthalmology | 5201 Hamilton Blvd, Allentown, PA 18106-9113 | 2009-06-03 |
| 1770729972 | Rojas Eye Care PC | Ophthalmology | 451 W. Chew St, Suite 207, Allentown, PA 18102-5044 | 2008-12-18 |
| 1851536932 | Mauricio Alejandro Figueroa | Ophthalmology | 501 N 17th St Ste C, Allentown, PA 18104-5026 | 2008-12-03 |
| 1720279276 | Paul H Schenck Md PC | Ophthalmology | 5239 Hamilton Boulevard, Allentown, PA 18106-9153 | 2007-08-08 |
| 1255443073 | David A De Rose | Ophthalmology | 1251 South Cedar Crest Blvd, Suite 307, Allentown, PA 18103 | 2006-08-31 |
| 1396706297 | Harold J Goldfarb | Ophthalmology | 501 North 17th St, Ste C, Allentown, PA 18104 | 2006-03-30 |
| 1952360224 | Julio Renan Rojas | Ophthalmology | 451 West Chew St, Suite 207, Allentown, PA 18102-3472 | 2006-03-23 |
| 1649259110 | Paul Henry Schenck | Ophthalmology | 5239 Hamilton Blvd, Allentown, PA 18106-9153 | 2006-01-12 |
| 1346477114 | Tomasz Adam Wiraszka | Ophthalmology | 401 N 17th St Ste 103, Allentown, PA 18104-5049 | 2009-06-18 |
| Find all providers in ALLENTOWN | ||||
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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.