Provider Demographics
NPI:1811922099
Name:KHAN, AFTAB A (MD)
Entity type:Individual
Prefix:DR
First Name:AFTAB
Middle Name:A
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 530604
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35253-0604
Mailing Address - Country:US
Mailing Address - Phone:205-879-8294
Mailing Address - Fax:205-879-8259
Practice Address - Street 1:2010 BROOKWOOD MEDICAL CENTER DRIVE
Practice Address - Street 2:BROOKWOOD MEDICAL CENTER
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209
Practice Address - Country:US
Practice Address - Phone:205-877-1000
Practice Address - Fax:205-874-8300
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL24061207R00000X
ALMD24061208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP00217027OtherMEDICARE RAILROAD
AL051001205OtherBCBS
AL144388Medicaid
AL051555882Medicaid
AL102I115308Medicare PIN