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DR. FAHAD KHAN DO
NPI 1013706605
Student in an Organized Health Care Education/Training Program in Jonesboro, AR

Active since May 01, 2025
4800 E JOHNSON AVE, JONESBORO, AR 72405(870) 936-1000 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Fahad Khan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FAHAD KHAN DO (NPI 1013706605) is an individual student in an organized health care education/training program in Jonesboro, Arkansas and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1013706605
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. FAHAD KHANCredential: DO
Location Address4800 E JOHNSON AVEJonesboro, AR 72405-8413
Mailing Address702 Se Eaton StBentonville, AR 72712-3854 · (507) 696-9978
Phone(870) 936-1000
Sole ProprietorYes
Enumeration DateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1013706605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4800 E JOHNSON AVE, Jonesboro, AR 72405
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REFAYAT AHSEN MD
Internal Medicine
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (865) 684-0799
JARRYD A DEMPSEY PT
Physical Therapist
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-8000
WILLIAM B ROTH DO
Hospitalist
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-1000
SAMUEL DAVID MARTIN DO
Student in an Organized Health Care Education/Training Program
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-1000
RANYA HAIDAR AL-KHAFAJI MD
Student in an Organized Health Care Education/Training Program
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-1000
KATIE JUSTINE CRISMAN CRNA
Nurse Anesthetist, Certified Registered
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-1000
MR. PHILLIP WAYNE STOKES JR. FNP-C
Nurse Practitioner (Family)
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-8000
DR. OLGA JATSKEVICH MD
Hospitalist
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fahad Khan's NPI number?

The NPI number for Fahad Khan is 1013706605. It was assigned to this individual provider in the NPPES registry on May 1, 2025.

Where is Fahad Khan located?

Fahad Khan practices at 4800 E Johnson Ave, Jonesboro, AR 72405. The listed phone number is (870) 936-1000.

What is Fahad Khan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Fahad Khan was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.