MR. ABDUL WASAAY KHURRAM M.D.
NPI 1134918832
Student in an Organized Health Care Education/Training Program in Jackson, MI

Q: What is Abdul Wasaay Khurram's NPI number?

The NPI number for Abdul Wasaay Khurram is 1134918832. It was assigned to this individual provider in the NPPES registry on May 1, 2025.

Q: What is Abdul Wasaay Khurram's specialty?

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

Active since May 01, 2025PECOS Enrolled

205 N EAST AVE, CAB 2ND FLR, JACKSON, MI 49201(517) 205-7116(517) 205-7050 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Abdul Wasaay Khurram M.d. NPPES

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

MR. ABDUL WASAAY KHURRAM M.D. (NPI 1134918832) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134918832

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. ABDUL WASAAY KHURRAMCredential: M.D.

Location Address205 N EAST AVE, CAB 2ND FLRJackson, MI 49201

Mailing Address205 N East Ave, Cab 2nd FlrJackson, MI 49201 · (517) 205-7116 · Fax (517) 205-7050

Phone(517) 205-7116

Fax(517) 205-7050

Sole ProprietorNo

Enumeration DateMay 1, 2025

Last NPPES UpdateAugust 8, 2025

✔ NPI 1134918832 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.

205 N EAST AVE, Jackson, MI 49201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Abdul Wasaay Khurram M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SAMANTHA RENE DANEK PA-C

Physician Assistant