MOAZZEM HOSSAIN KHAN (NPI# 1740430545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740430545 |
| Entity Type | Individual |
| Full Name | MOAZZEM HOSSAIN KHAN |
| Credential | M.D. |
| Practice Address |
1606 23rd Ave Fairbanks AK 99701-6407 |
| Practice Telephone | 9074554567 |
| Practice Fax Number | 9074581588 |
| Mailing Telephone | 9074554567 |
| Mailing Fax Number | 9074581588 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4933 | AK | Allopathic & Osteopathic Physicians |
| Street Address |
1606 23RD AVE |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952316630 | June M Thomasson | Family Medicine | 1606 23rd Ave, Fairbanks, AK 99701-6407 | 2006-07-30 |
| 1235659004 | Erin Dawn Stickels | Physician Assistant | 1606 23rd Ave, Fairbanks, AK 99701-6407 | 2017-06-22 |
| 1942558176 | Caroline Cathleen Curtis | Dentist | 1606 23rd Ave, Fairbanks, AK 99701-6407 | 2012-08-20 |
| 1508168733 | Kendel Lynn Bormann | Physician Assistant | 1606 23rd Ave, Fairbanks, AK 99701-6407 | 2010-11-19 |
| 1942514971 | Erin Van Gundy | Dentist | 1606 23rd Ave, Fairbanks, AK 99701-6407 | 2010-08-02 |
| 1013155209 | Sheila Diane Smith | Social Worker | 1606 23rd Ave, Fairbanks, AK 99701-6407 | 2009-01-27 |
| 1003062456 | Jeffrey W Kilgore | Dentist | 1606 23rd Ave, Fairbanks, AK 99701-6407 | 2008-08-15 |
| 1841475159 | Heather Ann Willis | Dentist | 1606 23rd Ave, Fairbanks, AK 99701-6407 | 2008-01-04 |
| 1457552903 | Interior Community Health Center | Family Medicine | 1606 23rd Ave, Fairbanks, AK 99701-6407 | 2007-05-31 |
| 1700096294 | Laboratory Corporation of America | Clinical Medical Laboratory | 1606 23rd Ave, Fairbanks, AK 99701-6407 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1760665012 | Nick Sarrimanolis, M.d. LLC | Internal Medicine | 1867 Airport Way Ste 145b, Fairbanks, AK 99701-4055 | 2007-12-10 |
| 1649314071 | Arctic Internal Medicine, Pb | Internal Medicine | 2009 Cowles St, Fairbanks, AK 99701-5916 | 2007-02-18 |
| 1023113461 | David S Grauman Md PC | Internal Medicine | 1919 Lathrop St Ste 203, Fairbanks, AK 99701-5943 | 2006-09-13 |
| 1497864524 | Mccabe Medical, P.C. | Internal Medicine | 127 Shenandoah Dr, Fairbanks, AK 99712-2407 | 2006-08-30 |
| 1124044581 | Keith B. Gianni | Internal Medicine | 1222 Well St, Suite One, Fairbanks, AK 99701-2835 | 2006-07-15 |
| 1053349654 | Linda L Garcia Md PC | Internal Medicine | 1405 Kellum St Ste 201, Fairbanks, AK 99701-4189 | 2006-06-30 |
| 1811986037 | Jonathan R. Starr | Internal Medicine | 1717 W. Cowles St., Fairbanks, AK 99701-5926 | 2005-10-20 |
| 1629077938 | Owen Quigley Hanley | Internal Medicine | 1650 Cowles St, Fairbanks, AK 99701-5998 | 2005-07-19 |
| 1144660093 | Jennifer Jacobs | Internal Medicine | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2013-06-25 |
| 1104269216 | Starks Md LLC | Internal Medicine | 1919 Lathrop St, Ste 204, Fairbanks, AK 99701-5937 | 2013-04-09 |
| Find all providers in FAIRBANKS | ||||
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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.