DR. KHUDA DAD KHAN (NPI# 1619946159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619946159 |
| Entity Type | Individual |
| Full Name | DR. KHUDA DAD KHAN |
| Credential | M.D., PH.D. |
| Practice Address |
315 E Broadway Fl 4 Louisville KY 40202 |
| Mailing Address |
Po Box 776347 Chicago IL 60677-6347 |
| Practice Telephone | 5026292500 |
| Practice Fax Number | 5026292055 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
41517 | KY | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
01052174A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200282440 | 05 | |
| KY | MEDICARE RAILROAD | P01190187 | 01 |
| AZ | 631888 | 05 | |
| KY | 7100056260 | 05 |
| Street Address |
315 E BROADWAY FL 4 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487110003 | Taura Danielle Webb | Nurse Practitioner | 315 E Broadway Fl 4, Louisville, KY 40202 | 2019-02-19 |
| 1376018366 | Vivien C Rosenberger | Nurse Practitioner | 315 E Broadway Fl 4, Louisville, KY 40202-3700 | 2018-10-05 |
| 1225546377 | Ruth Nicole Crawford | Nurse Practitioner | 315 E Broadway Fl 4, Louisville, KY 40202-3700 | 2018-01-10 |
| 1588105746 | Danielle D Bundrent | Nurse Practitioner | 315 E Broadway Fl 4, Louisville, KY 40202-3700 | 2017-03-20 |
| 1760835664 | Kimberly Castle | Social Worker | 315 E Broadway Fl 4, Louisville, KY 40202-3700 | 2016-07-15 |
| 1003230731 | Victoria Jean Shipman | Nurse Practitioner | 315 E Broadway Fl 4, Louisville, KY 40202-3700 | 2014-02-17 |
| 1679816920 | Dan Ishihara | Radiology | 315 E Broadway Fl 4, Louisville, KY 40202 | 2013-04-04 |
| 1194077818 | Cortney K Montgomery | Nurse Practitioner | 315 E Broadway Fl 4, Louisville, KY 40202 | 2012-10-04 |
| 1609123363 | Rebecca Ann Reichert | Nurse Practitioner | 315 E Broadway Fl 4, Louisville, KY 40202-3700 | 2012-08-12 |
| 1659534170 | Adam Drew Lye | Internal Medicine | 315 E Broadway Fl 4, Louisville, KY 40202 | 2008-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083938542 | Metro Hematology Oncology, Pllc | Internal Medicine | 3620 Wynbrooke Cir, Louisville, KY 40241 | 2010-03-26 |
| 1275670788 | Wangjian Zhong | Internal Medicine | 4003 Kresge Way Ste 500, Louisville, KY 40207-5603 | 2007-01-31 |
| 1609876978 | Michael G Carroll | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2005-07-28 |
| 1053318717 | Christopher C Croot | Internal Medicine | 100 E Liberty St, Suite 800, Louisville, KY 40202-1434 | 2005-07-07 |
| 1285084558 | Satish Stephen Maharaj | Internal Medicine | 529 S Jackson St, Louisville, KY 40202 | 2016-06-17 |
| 1295118644 | Drew Carl Drennan Murray | Internal Medicine | 529 S Jackson St, Louisville, KY 40202 | 2015-07-02 |
| 1417367210 | Phuong Tuyet Ngo | Internal Medicine | 529 S Jackson St, Louisville, KY 40202-3229 | 2014-05-01 |
| 1831464940 | University of Louisville Physicians, Inc. | Internal Medicine | 529 S Jackson St, Louisville, KY 40202-3229 | 2012-03-22 |
| 1568737674 | University of Louisville Physicians, Inc. | Internal Medicine | 529 S Jackson St, Louisville, KY 40202-3229 | 2012-03-22 |
| 1700163326 | Baptist Medical Associates, Inc | Internal Medicine | 2600 Stanley Gault Pkwy, Suite 201, Louisville, KY 40223-4197 | 2011-11-10 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.