DR. QASIM SARDAR KHAN MD
NPI 1700506201
Student in an Organized Health Care Education/Training Program in Tulare, CA

Q: What is Qasim Khan's NPI number?

The NPI number for Qasim Khan is 1700506201. It was assigned to this individual provider in the NPPES registry on September 2, 2022.

Q: What is Qasim 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 Qasim Khan was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 02, 2022PECOS Enrolled

2059 HILLMAN ST, TULARE, CA 93274(559) 605-0090 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 10, 2024, Sep 2, 2022 (2 updates tracked since 2022).

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About Dr. Qasim Sardar Khan Md NPPES

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

DR. QASIM SARDAR KHAN MD (NPI 1700506201) is an individual student in an organized health care education/training program in Tulare, California and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700506201

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. QASIM SARDAR KHANCredential: MD

Location Address2059 HILLMAN STTulare, CA 93274-1609

Mailing Address600 N Gratton AveStockton, CA 95205-4313 · (336) 259-9181

Phone(559) 605-0090

Sole ProprietorYes

Enumeration DateSeptember 2, 2022

Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1700506201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 2022026954 (MO)

2059 HILLMAN ST, Tulare, CA 93274

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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. Qasim Sardar 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.

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.

LOURDES CONCEPCION MARTINEZ CARTAGENA

Student in an Organized Health Care Education/Training Program