DR. ABDUL RAZZAQ KHAN MD
NPI 1487356036
Student in an Organized Health Care Education/Training Program in Brooksville, FL

Q: What is Abdul Khan's NPI number?

The NPI number for Abdul Khan is 1487356036. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Abdul Khan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abdul Khan was last updated on March 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2023PECOS Enrolled

11375 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 597-6173 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Abdul Razzaq Khan Md NPPES

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

DR. ABDUL RAZZAQ KHAN MD (NPI 1487356036) is an individual student in an organized health care education/training program in Brooksville, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487356036

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ABDUL RAZZAQ KHANCredential: MD

Location Address11375 CORTEZ BLVDBrooksville, FL 34613-5409

Mailing Address124 Chateau Saint Michel DrKenner, LA 70065-2038 · (352) 592-2756

Phone(352) 597-6173

Sole ProprietorYes

Enumeration DateMarch 20, 2023

NPPES CertifiedMarch 20, 2023

✔ NPI 1487356036 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.

11375 CORTEZ BLVD, Brooksville, FL 34613

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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)

Dr. Abdul Razzaq Khan Md 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.