FATIMA ANMOL IQBAL KHAN


Address: 880 Madison Ave, Memphis, TN 38103-3409
Phone: 9014482657

FATIMA ANMOL IQBAL KHAN (NPI# 1669937835) 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) 1669937835
Entity Type Individual
Full Name FATIMA ANMOL IQBAL KHAN
Credential PA
Practice Address 880 Madison Ave
Memphis
TN 38103-3409
Mailing Address 877 Jefferson Avenue
Attn: Provider Enrollment
Memphis
TN 38103
Practice Telephone 9014482657
Practice Fax Number 9014481248
Mailing Telephone 9014482657
Mailing Fax Number 9014481248
Enumeration Date 2019-02-01
Last Update Date 2019-02-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3623 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 880 MADISON AVE
City MEMPHIS
State TN
Zip Code 38103-3409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053394155 Roberto Levi-d'ancona Obstetrics & Gynecology 880 Madison Ave, Memphis, TN 38103-3409 2005-11-22
1881212132 Muhammad Hamid Internal Medicine 880 Madison Ave, Memphis, TN 38103-3409 2020-07-13
1568081669 Jenifer Chang Dietitian, Registered 880 Madison Ave, Memphis, TN 38103-3409 2020-04-09
1598395089 Amy Metcalfe Smith Pharmacist 880 Madison Ave, Memphis, TN 38103-3409 2020-01-23
1497316301 Alicia Verona Wilson Nurse Practitioner 880 Madison Ave, Memphis, TN 38103-3409 2019-06-23
1932663911 Maria Renee Hallford Registered Nurse 880 Madison Ave, Memphis, TN 38103-3409 2019-01-24
1295289049 Crystal Walker Nurse Practitioner 880 Madison Ave, Memphis, TN 38103-3409 2016-08-10
1386096279 Amanda Lynn Williams Advanced Practice Midwife 880 Madison Ave, Memphis, TN 38103-3409 2016-07-05
1568818938 Sunbal Ashraf Psychiatry & Neurology 880 Madison Ave, Memphis, TN 38103-3409 2016-05-04
1972999266 Patrick Wayne Blackburn Obstetrics & Gynecology 880 Madison Ave, Memphis, TN 38103-3409 2015-04-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619505724 Michelle Lynn Esposito Dietitian, Registered 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 2020-04-01
1962030221 Allison Burge Clayton Dietitian, Registered 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 2020-03-31
1093375420 Radar Ems, LLC Social Worker 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 2019-06-18
1528529021 Denise Andrews Matthews Nursing Care 342 Island Dr #105, Memphis, TN 38103 2019-03-27
1881160059 Christopher Paul Hernandez Nurse Practitioner 877 Jeffeon Ave, Memphis, TN 38103 2018-10-15
1194245712 Cameron Waters Clinard Optometrist 127 Isle Creek Dr, Memphis, TN 38103 2017-06-24
1750732582 Amanda Leigh Eaves Nurse Practitioner 364 S Front St Ste 201, Memphis, TN 38103 2016-06-22
1417304569 John Clark Shell Family Medicine 150 Harbor Creek Dr, Memphis, TN 38103 2016-05-18
1750753695 Tomisha V. Byard Nurse Practitioner 718 Habor Bend Road, Memphis, TN 38103 2015-10-29
1053795179 Melissa Anne Wilkes Social Worker 1240 Harbor River Drive, Memphis, TN 38103 2015-07-18
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235737354 Adrienne Smith Physician Assistant 5200 Park Ave Ste 100, Memphis, TN 38119-3505 2020-10-12
1134734817 Siushan Tang Vuong Physician Assistant 102 Clark Pl Apt S, Memphis, TN 38104-2419 2020-09-10
1174137525 Gustavo Adolfo Tangarife Sr. Physician Assistant 2193 Morning Vista Dr, Memphis, TN 38134-6018 2020-09-02
1053949586 Michella Glenna Douglas Physician Assistant 3911 Oak Branch Cir W, Memphis, TN 38135-0213 2020-03-30
1619508942 Victoria Mackay Physician Assistant 595 Danny Thomas Place, Memphis, TN 38105 2020-01-27
1306480868 Lauren Blum Physician Assistant 100 S Greer St, Memphis, TN 38111-3429 2019-10-28
1487135463 Baron Surgical, Pllc Physician Assistant 4728 Spottswood Ave # 199, Memphis, TN 38117-4817 2018-08-27
1083139265 Huda Alaeddin Physician Assistant 6584 Poplar Ave Ste 400, Memphis, TN 38138-3687 2017-08-08
1982076246 Richard Randolph Physician Assistant 1094 River Isle Dr, Memphis, TN 38103-8870 2015-10-27
1962870808 Sophia Garrison Physician Assistant 4562 Poplar Ave Ste 109, Memphis, TN 38117-7515 2015-09-09
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38103

Improve Information

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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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