DR. NASREEN AJMAL ILIAS-KHAN (NPI# 1538281399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538281399 |
| Entity Type | Individual |
| Full Name | DR. NASREEN AJMAL ILIAS-KHAN |
| Other Name | NASREEN A ILIAS |
| Credential | M.D. |
| Practice Address |
700 Ne 87th Ave Vancouver WA 98664 |
| Mailing Address |
700 Ne 87th Ave Vancouver WA 98664-1913 |
| Practice Telephone | 3608822778 |
| Practice Fax Number | 3606041767 |
| Mailing Telephone | 3608822778 |
| Mailing Fax Number | 3606041767 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2018-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD60479570 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD155921 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2038720 | 05 | |
| OR | 500638606 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2211 Ne 139th St, Vancouver, WA 986862742 | 5038400494 |
| Street Address |
700 NE 87TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255112 | Lewis Mark Steinberg | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2005-06-17 |
| 1598398141 | Blakely Garrity | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2020-02-21 |
| 1851958797 | Rosa Pham | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2019-05-28 |
| 1902368319 | Alexandria Eunsong Yeo | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2019-04-03 |
| 1568961100 | Jill Renee Bradley | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2018-02-09 |
| 1245757939 | Matthew Elamparo | Pharmacist | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2017-08-24 |
| 1174051023 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 700 Ne 87th Ave, Suite 180, Vancouver, WA 98664-1913 | 2017-05-23 |
| 1952833741 | Jeanne Lothrop Gurney | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2017-03-30 |
| 1730639626 | Cameron M Schmidt | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2016-10-04 |
| 1164971610 | David C Turro Jr. | Physician Assistant | 700 Ne 87th Ave, Suite 140, Vancouver, WA 98664-1913 | 2016-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023357845 | Samuel Everett George | Internal Medicine | 19005 Se 34th St Bldg 3, Vancouver, WA 98683 | 2013-02-14 |
| 1063716595 | Jeffrey David Feldstein | Internal Medicine | 5415 Ne 52nd St, Vancouver, WA 98661-7838 | 2010-12-23 |
| 1376790758 | Vishesh Kumar | Internal Medicine | 700 Ne 87th Ave Ste 210, Vancouver, WA 98664-4896 | 2008-08-27 |
| 1003918616 | John Megcheisen Stone | Internal Medicine | 1805 Se Solomon Loop, Vancouver, WA 98683-4631 | 2006-09-03 |
| 1801894878 | Stephen L Cook | Internal Medicine | 1115 Se 164th Ave, Dept 358, Vancouver, WA 98683-9324 | 2005-07-13 |
| 1962940015 | Hajir Zohourian | Internal Medicine | 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664-3290 | 2017-02-09 |
| 1245594464 | Noel Samantha Lee | Internal Medicine | 700 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2012-07-03 |
| 1376819367 | Olga Victorovna Demina | Internal Medicine | 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664 | 2012-03-24 |
| 1003194911 | Peacehealth Southwest Medical Center | Internal Medicine | 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664-3290 | 2011-07-26 |
| 1538458807 | Providence Health & Services - Oregon | Internal Medicine | 315 Se Stone Mill Dr, Suite 220, Vancouver, WA 98684-6987 | 2011-04-07 |
| Find all providers in VANCOUVER | ||||
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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.