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MUMTAZ KHAN PA
NPI 1093795726
Physician Assistant in Fort Campbell, KY

Active since January 19, 2006
650 JOEL DR, BLANCHFIELD HOSPITAL, FORT CAMPBELL, KY 42223(270) 798-8388 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mumtaz Khan Pa NPPES

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

MUMTAZ KHAN PA (NPI 1093795726) is an individual physician assistant in Fort Campbell, Kentucky, licensed in Wisconsin (1919) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1093795726
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMUMTAZ KHANCredential: PA
Location Address650 JOEL DR, BLANCHFIELD HOSPITALFort Campbell, KY 42223-5318
Mailing Address650 Joel Dr, Blanchfield HospitalFort Campbell, KY 42223-5318 · (270) 798-8388
Phone(270) 798-8388
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateOctober 27, 2014
✔ NPI 1093795726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 1919
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
650 JOEL DR, Fort Campbell, KY 42223
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Other Identifiers 5

Medicare ID-Type Unspecified11068-0015
Medicare ID-Type Unspecified12040-0005
Medicare UPINQ51241
Medicaid42873300WI
Medicare ID-Type Unspecified12075-0006

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.

LISA RENEE CORDELL RN
Registered Nurse
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8500
SAMANTHA LYNNE WINDER ATC
Specialist/Technologist (Athletic Trainer)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (435) 650-4301
BLANCHFILED ARMY COMMUNITY HOSPITAL
Military Hospital
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
KATHLEEN MEERA GROFF FNP-BC
Nurse Practitioner
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 956-0451
LINDSAY DAVIS
Counselor (Professional)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-0667
JEFFREY A SANFORD MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
ERIK FLOLO LMSW
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
MARK WILLIAM MCNEELY MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400

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 Mumtaz Khan's NPI number?

The NPI number for Mumtaz Khan is 1093795726. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Mumtaz Khan located?

Mumtaz Khan practices at 650 Joel Dr Blanchfield Hospital, Fort Campbell, KY 42223. The listed phone number is (270) 798-8388.

What is Mumtaz Khan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mumtaz Khan was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.