DR. MOHAMMAD ALI KHAN (NPI# 1861657611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861657611 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMAD ALI KHAN |
| Credential | M.D. |
| Practice Address |
106 Henry James Ct Youngsville LA 70592-5176 |
| Practice Telephone | 5042203839 |
| Practice Fax Number | 5042731100 |
| Mailing Telephone | 5042203839 |
| Mailing Fax Number | 5042731100 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2016-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
N4517 | TX | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
N4517 | TX | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | N4517 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1609336668 | Mohammad Ali Khan | Student in an Organized Health Care Education/Training Program | 12531 Quarterhorse Dr, Bowie, MD 20720-4328 | 2019-03-24 |
| 1740754399 | Mohammad S Khan | Pharmacy | 41 Grant St Apt 1, Yonkers, NY 10704-2362 | 2019-01-17 |
| 1497242382 | Mohammad Ahmad Khan | Student in an Organized Health Care Education/Training Program | 15000 W Airport Blvd Apt 1133, Sugar Land, TX 77498-7259 | 2018-04-17 |
| 1669979563 | Mohammad Junayed Khan | Student in an Organized Health Care Education/Training Program | 869 Andover Rd, Lansdale, PA 19446-1811 | 2018-04-09 |
| 1366952897 | Mohammad Abbas Khan | Dentist | 237 Worthen Rd E, Lexington, MA 02421-6129 | 2017-10-11 |
| 1659791663 | Mohammad Ibraheem Khan | Internal Medicine | Stony Brook Ufpc Practice 101 Nicolls Road Hsc T17-060, Stony Brook, NY 11794-6999 | 2014-04-17 |
| 1356696504 | Mohammad Arsalan Khan | Dentist | 4114 Medical Drive Apt #25107, San Antonio, TX 78229-4034 | 2012-07-13 |
| 1750687786 | Mohammad Mussadiq Khan | Surgery | 4245 Altura Mesa Ln Ne, Albuquerque, NM 87110-5058 | 2011-02-09 |
| Street Address |
106 HENRY JAMES CT |
| City | YOUNGSVILLE |
| State | LA |
| Zip Code | 70592-5176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437796844 | Tanisha Daniele Middleton | Behavior Technician | 209 Centre Scarcelle Boulevard, 201, Youngsville, LA 70592 | 2019-12-04 |
| 1578023800 | Youngsville Eye Clinic LLC | Optometrist | 2818 Bonin Rd, Youngsville, LA 70592 | 2019-03-22 |
| 1942727763 | Katherine Broussard Juneau | Social Worker | 317 Nora Broussard Rd, Youngsville, LA 70592 | 2017-08-23 |
| 1538694773 | Luciana Girouard | Behavior Technician | 209 Centre Sarcelle Blvd Ste 201, Youngsville, LA 70592 | 2017-04-25 |
| 1922557750 | Whispering Oaks Lodge LLC | Substance Abuse Rehabilitation Facility | 617 Piat Road, Youngsville, LA 70592 | 2016-09-21 |
| 1811362528 | Lauren Stone | Physical Therapist | 100 Holstien Ln, Youngsville, LA 70592 | 2015-12-07 |
| 1356671374 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2910 E. Milton Ave, Youngsville, LA 70592 | 2010-01-14 |
| 1376778464 | Anne Marie Biro | Physical Therapy Assistant | 170 Atlas Road, Youngsville, LA 70592 | 2009-05-19 |
| 1457593618 | Fallon Strother Mcmanus | Family Medicine | 103 Centre Sarcelle Blvd, Suite 506, Youngsville, LA 70592 | 2009-04-01 |
| 1346497146 | Cashway Pharmacy of Youngsville | Pharmacist | 810 S. Saint Blaise Lane, Suite A, Youngsville, LA 70592 | 2008-08-22 |
| Find all providers in zip 70592 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821400904 | David Michael Theriot | Radiology | 1111 Medical Center Blvd Ste 108, Marrero, LA 70072-3152 | 2014-05-23 |
| 1710203971 | Zachary Jefferson Liner | Radiology | 15790 Paul Vega Md Dr, Radiology Department, Hammond, LA 70403-1434 | 2010-04-13 |
| 1720248743 | Paul M Gulotta | Radiology | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2008-06-12 |
| 1134388234 | Jagan Dewan Gupta | Radiology | 1111 Medical Center Blvd, Suite N-108, Marrero, LA 70072-3151 | 2008-06-03 |
| 1235396722 | Mona Yasrebi | Radiology | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2008-05-21 |
| 1790960144 | Blake Eugene Mcgehee | Radiology | 1888 Hudson Cir, Ste 2, Monroe, LA 71201-3546 | 2008-01-04 |
| 1790975019 | Ankit Limba Pansara | Radiology | 1514 Jefferson Hwy, Radiology Department, New Orleans, LA 70121-2429 | 2007-08-01 |
| 1427101914 | Hugh James Francis Robertson | Radiology | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2007-01-19 |
| 1093874422 | Noah Andrew Emerson | Radiology | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2006-12-08 |
| 1275691248 | Christian Edward Morel | Radiology | 5000 Hennessy Blvd, Our Lady of The Lake Rmc Radiology Dept., Baton Rouge, LA 70808-4375 | 2006-12-04 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSVILLE |
| Zip Code | 70592 |
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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.