KHURRAM JEHANGIR KHAN (NPI# 1417164062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417164062 |
| Entity Type | Individual |
| Full Name | KHURRAM JEHANGIR KHAN |
| Credential | M.D. |
| Practice Address |
200 N Madison St Marshall MI 49068 |
| Mailing Address |
69780 Stellar Dr Rancho Mirage CA 92270-2954 |
| Practice Telephone | 2697894386 |
| Practice Fax Number | 2697894387 |
| Mailing Telephone | 7604243380 |
| Mailing Fax Number | 7604243375 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2018-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | A113983 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 4301083860 | MI | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
A113983 | CA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
4301083860 | MI | Allopathic & Osteopathic Physicians |
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
A113983 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA MEDICAL LICENSE | A113983 | 01 |
| MI | 1417164062 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386887206 | Khurram Hayat Khan | Licensed Practical Nurse | 16 Tammy Dr, Middletown, NY 10941-2052 | 2009-04-07 |
| 1659390540 | Khurram H Khan | Podiatrist | 148 N 8th St, Philadelphia, PA 19107 | 2006-07-19 |
| 1336521897 | Khurram I Khan | Internal Medicine | 2655 W Baker Rd, Baytown, TX 77521 | 2015-06-22 |
| 1073755187 | Khurram Ashraf Khan | Dentist | 7523 State Rd, Cincinnati, OH 45255-2438 | 2009-04-03 |
| 1063677011 | Khurram A Khan | Family Medicine | 500 Springhouse Cir, Stone Mountain, GA 30087-6741 | 2008-07-18 |
| 1730370586 | Khurram A Khan | Internal Medicine | 3 Erie Ct, Suite L-600, Oak Park, IL 60302-2519 | 2007-08-07 |
| 1669682779 | Khurram Khan | Anesthesiology | 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 | 2007-05-23 |
| 1033321955 | Khurram Ahmad Khan | Surgery | 1633 Medical Center Point, Colorado Springs, CO 80907 | 2007-05-04 |
| 1891740429 | Khurram Khan | Physical Therapist | 2124 30th Ave, Suite C1, Astoria, NY 11102-4189 | 2006-05-23 |
| Street Address |
200 N MADISON ST |
| City | MARSHALL |
| State | MI |
| Zip Code | 49068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861475360 | Ella E. M. Brown Charitable Circle | General Acute Care Hospital | 200 N Madison St, Marshall, MI 49068-1143 | 2005-11-29 |
| 1992206569 | Jennifer L Wendt | Occupational Therapist | 200 N Madison St, Marshall, MI 49068-1143 | 2018-02-28 |
| 1063922466 | Amanda Laura Bergan | Nurse Practitioner | 200 N Madison St, Marshall, MI 49068-1143 | 2017-10-11 |
| 1699220343 | Ashley Mae Howard | Nurse Practitioner | 200 N Madison St, Marshall, MI 49068-1143 | 2016-08-23 |
| 1043660467 | Ella E M Brown Charitable Circle | Obstetrics & Gynecology | 200 N Madison St, Marshall, MI 49068-1143 | 2016-06-16 |
| 1285082339 | Ella Em Brown Charitable Circle | Hospitalist | 200 N Madison St, Marshall, MI 49068-1143 | 2016-05-31 |
| 1205216330 | Lisa Danielle-howell Arnold | Nurse Anesthetist, Certified Registered | 200 N Madison St, Marshall, MI 49068 | 2015-06-03 |
| 1841602919 | Rachel Pughsley | Emergency Medicine | 200 N Madison St, Marshall, MI 49068 | 2014-05-23 |
| 1861756595 | Nicholas Anthony Crawford | Internal Medicine | 200 N Madison St, Marshall, MI 49068-1143 | 2012-06-27 |
| 1407125198 | Sarah Marie Finch | Registered Nurse | 200 N Madison St, Marshall, MI 49068-1143 | 2011-12-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413774 | Mikeayla Pellegrino | Speech-Language Pathologist | 103 E Mansion St Ricketson Building, Marshall, MI 49068 | 2020-10-06 |
| 1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
| 1164994976 | Emily Thrower | Advanced Practice Midwife | 215 E. Mansion Street, Suite 3d, Marshall, MI 49068 | 2018-12-19 |
| 1205359106 | Alexandrea Jade Garbus | Advanced Practice Midwife | 215 E Mansion St Ste 3d, Marshall, MI 49068 | 2017-07-23 |
| 1861948671 | Jaina Schank | Occupational Therapist | 879 E Michigan Avenue, Medilodge of Marshall, Marshall, MI 49068 | 2016-08-31 |
| 1609234426 | Maria Miller | Dental Hygienist | 111 N. Jefferson St, Suite 1, Marshall, MI 49068 | 2016-02-08 |
| 1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
| 1225447659 | Charles Middleton | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068 | 2014-08-11 |
| 1952662538 | Angela Louise Robin | Podiatrist | 1600 S Kalamazoo Ave, Marshall, MI 49068 | 2012-05-31 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
| Find all providers in zip 49068 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903294 | Comprehensive Pain Specialists, Pllc | Pain Medicine | 4302 Bay City Rd, Midland, MI 48642-6014 | 2019-10-15 |
| 1437715232 | Comprehensive Pain Specialists, Pllc | Pain Medicine | 705 E Frank St, Caro, MI 48723 | 2019-05-16 |
| 1083175913 | Bella Treatment Center PC | Pain Medicine | 28763 Northwestern Hwy Ste 100, Southfield, MI 48034-1842 | 2019-03-25 |
| 1245795848 | Advanced Pain Management Specialists, LLC | Pain Medicine | 46325 W 12 Mile Rd Ste 335, Novi, MI 48377-2464 | 2019-02-07 |
| 1356738686 | Genesee Pain Associates PC | Pain Medicine | 4468 Oakbridge Dr, Flint, MI 48532-5422 | 2015-04-24 |
| 1457745150 | Strategy Anesthesia Michigan Pllc | Pain Medicine | 13460 Fort St, Southgate, MI 48195-1138 | 2015-03-20 |
| 1407115884 | Michiana Spine, Sports & Occupational Rehab, PC | Pain Medicine | 2500 Niles Rd Ste 3, Saint Joseph, MI 49085-3225 | 2012-05-07 |
| 1386902013 | Michiana Spine, Sports & Occupational Rehab, PC | Pain Medicine | 24 N Saint Joseph Ave Ste B, Niles, MI 49120-2263 | 2012-05-01 |
| 1225302821 | Pain Clinic Management Group, Pllc | Pain Medicine | 35634 Dequindre Rd, Sterling Heights, MI 48310-4288 | 2012-02-28 |
| 1740567163 | Northville Pain Specialists Plc | Pain Medicine | 215 E. Main Street, Suite 201, Northville, MI 48167-1686 | 2011-11-14 |
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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.