Provider Demographics
NPI:1346679834
Name:ZAHEER A KHAN MD PC
Entity Type:Organization
Organization Name:ZAHEER A KHAN MD PC
Other - Org Name:CENTER FOR ELDER CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:M.D. / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAHEER
Authorized Official - Middle Name:A
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-799-2500
Mailing Address - Street 1:3007 MEMORIAL PKWY SW
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5394
Mailing Address - Country:US
Mailing Address - Phone:256-799-2500
Mailing Address - Fax:
Practice Address - Street 1:3007 MEMORIAL PKWY SW
Practice Address - Street 2:SUITE B
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5393
Practice Address - Country:US
Practice Address - Phone:256-799-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18162207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALF91490Medicare UPIN