ABDUR REZA KHAN


Address: 1401 Spanos Ct Ste 111, Modesto, CA 95355-2812
Phone: 2095504755

ABDUR REZA KHAN (NPI# 1336436930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336436930
Entity Type Individual
Full Name ABDUR REZA KHAN
Credential M.D.
Practice Address 1401 Spanos Ct Ste 111
Modesto
CA 95355-2812
Mailing Address 600 Coffee Rd
Modesto
CA 95355-4201
Practice Telephone 2095504755
Mailing Telephone 2095216097
Enumeration Date 2011-07-02
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
A150680 CA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
655 W 8th St, C-90, 2nd Floor, Clinical Center, Jacksonville, FL 322096511 8182450574

Other Providers ABDUR KHAN

NPI Name Taxonomy Address Enumeration
1992766851 Abdur R Khan Family Medicine 4221 Pleasant Valley Road, Suite 114, Virginia Beach, VA 23464-8519 2006-03-30
1780675439 Abdur R Khan Internal Medicine 1818 N Meade St Ste 130, Appleton, WI 54911 2005-11-02
1700132750 Abdur Rahman Khan Internal Medicine Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 2012-07-27
1093761215 Abdur Rob Khan Internal Medicine 7305 N. Military Trail, Medicine (111), West Palm Beach, FL 33410 2006-05-26
1821063561 Abdur Khan Pathology 100 High St, Buffalo General Hospital, Buffalo, NY 14203-1126 2006-02-17

Office Location

Street Address 1401 SPANOS CT STE 111
City MODESTO
State CA
Zip Code 95355-2812

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427339134 Damian Caci Radiology 1401 Spanos Ct Ste 111, Modesto, CA 95355-2812 2011-09-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982211793 I To I LLC Optometrist 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 2020-09-25
1205443116 Altwal and Shelat Dds Inc Dentist 1317 Oakdale Road, Suite 310, Modesto, CA 95355 2020-09-24
1184255911 Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation Clinic/Center 3401 Oakdale Road, Suite 505, Modesto, CA 95355 2020-01-30
1487133856 Natalie Vargas Behavior Technician 1317 Oakdale Road Suite 610, Modesto, CA 95355 2018-08-07
1871079152 Jill H Fusia Dietitian, Registered 1404 Cordero Court, Modesto, CA 95355 2018-07-19
1043727514 Emily Lauren Schaefer Behavioral Analyst 3425 Coffee Rd Ste C2, Modesto, CA 95355 2018-01-05
1376083691 Hari Gnanasekeram, PC Technician, Cardiology 1303 Mable Avenu, Modesto, CA 95355 2017-03-06
1598139891 Encompass Health Rehabilitation Hospital of Modesto, LLC Rehabilitation Hospital 1303 Mable Avenue, Modesto, CA 95355 2015-11-24
1013387844 Diana Faith Kigenyi Social Worker 1225 Oakdale Road, Modesto, CA 95355 2015-10-06
1437530672 Tzu Yi Wei Acupuncturist 2209 Coffee Road, Suite A, Modesto, CA 95355 2015-06-12
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831493261 Binh Tuan Quach Radiology 600 Coffee Rd, Modesto, CA 95355-4201 2010-12-28
1255419081 Joanne B. Lim Radiology 4601 Dale Rd, Modesto, CA 95356-9718 2006-11-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134739949 Ava Vascular Radiology 1281 W. C. Street, Suite 200, Colton, CA 92324 2020-08-06
1306467204 Saleh Radiology of Inland Empire Radiology 15276 Ledgestone St, Fontana, CA 92336-4048 2020-05-01
1366084535 Luo Xu Radiology 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 2019-10-09
1346717824 Cvs Medical Group, Inc Radiology 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 2018-11-01
1407353675 Art Vascular & Interventional Associates Inc Radiology 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 2018-04-12
1568971869 Broad Reach Specialty Surgery Inc Radiology 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 2017-09-29
1407393754 Valley Vascular Partners Inc Radiology 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 2017-01-25
1124497342 Neurointerventional Surgery Consultants, PC Radiology 534 S Brea Blvd, Brea, CA 92821-5304 2015-09-17
1578946026 Clarity Radiology, LLC Radiology 39 Via Navarro, Greenbrae, CA 94904-1215 2015-07-01
1669863981 Pedes Vascular San Fernando Valley Radiology 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 2015-02-09
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Competitor

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City MODESTO
Zip Code 95355

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Dataset Information

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.

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