ADAM MOHAMMAD KHATTAK
NPI 1639828213
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 22, 2022PECOS Enrolled
1701 W CHARLESTON BLVD STE 230, LAS VEGAS, NV 89102(702) 660-8658(702) 676-3635 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Adam Mohammad Khattak NPPES

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

ADAM MOHAMMAD KHATTAK (NPI 1639828213) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639828213
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADAM MOHAMMAD KHATTAK
Location Address1701 W CHARLESTON BLVD STE 230Las Vegas, NV 89102-2312
Mailing Address1701 W Charleston Blvd Ste 230Las Vegas, NV 89102-2312 · (702) 660-8658 · Fax (702) 676-3635
Fax(702) 676-3635
Sole ProprietorNo
Enumeration DateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
NPI 1639828213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1701 W CHARLESTON BLVD STE 230, Las Vegas, NV 89102

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Adam Mohammad Khattak 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.

Internal Medicine
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102
Internal Medicine
1701 W CHARLESTON BLVD STE 230, SUITE 230
LAS VEGAS, NV 89102
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102

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 Adam Khattak's NPI number?

The NPI number for Adam Khattak is 1639828213. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Adam Khattak located?

Adam Khattak practices at 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102. The listed phone number is (702) 660-8658.

What is Adam Khattak's specialty?

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

Is Adam Khattak enrolled in Medicare?

Yes. Adam Khattak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Khattak was last updated on March 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.