Provider Demographics
NPI:1043792419
Name:KHAN, NADIA BEGUM (DNP)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:BEGUM
Last Name:KHAN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:NADIA
Other - Middle Name:
Other - Last Name:QAZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4140 W 190TH ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-5513
Mailing Address - Country:US
Mailing Address - Phone:310-423-2641
Mailing Address - Fax:310-423-2356
Practice Address - Street 1:8900 BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-2438
Practice Address - Country:US
Practice Address - Phone:310-423-2641
Practice Address - Fax:310-423-2356
Is Sole Proprietor?:No
Enumeration Date:2018-09-03
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY308895363LA2200X
CA95034226363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health