KASSIM A KHAN MD PA
NPI 1710168729
Ophthalmology in Fort Worth, TX

Active since November 19, 2007
1001 12TH AVE, SUITE 132, FORT WORTH, TX 76104(817) 870-2010(817) 870-2050 Get Directions Write a Review

NPPES record last updated: October 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kassim A Khan Md Pa NPPES

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

KASSIM A KHAN MD PA (NPI 1710168729) is a healthcare organization registered as an ophthalmology in Fort Worth, Texas and active in the NPI registry since November 2007. The organization lists Kassim A Khan, Physician, as its authorized official.

NPPES Registry Identity

NPI1710168729
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameKASSIM A KHAN MD PA
Location Address1001 12TH AVE, SUITE 132Fort Worth, TX 76104-3926
Mailing Address1001 12th Ave, Suite 132Fort Worth, TX 76104-3926 · (817) 870-2010 · Fax (817) 870-2050
Fax(817) 870-2050
Organization SubpartNo
Authorized OfficialKassim A KhanPhysician · (817) 870-2010
Enumeration DateNovember 19, 2007
Last NPPES UpdateOctober 13, 2009
NPI 1710168729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · H7171
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1001 12TH AVE, Fort Worth, TX 76104

Other Identifiers 3

Medicare PINDD0645TX
Medicare PIN00339XTX
Medicare PIN00753XTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Physician Assistant
1001 12TH AVE, 200
FORT WORTH, TX 76104
Internal Medicine (Medical Oncology)
1001 12TH AVE, SUITE 200
FORT WORTH, TX 76104
Family Medicine
1001 12TH AVE, SUITE 130
FORT WORTH, TX 76104
Specialist
1001 12TH AVE, SUITE 172
FORT WORTH, TX 76104
Ophthalmology
1001 12TH AVE, SUITE 132
FORT WORTH, TX 76104
Pharmacist (Oncology)
1001 12TH AVE, SUITE 200
FORT WORTH, TX 76104
Physiological Laboratory
1001 12TH AVE, SUITE 170
FORT WORTH, TX 76104
Pain Medicine (Pain Medicine)
1001 12TH AVE
FORT WORTH, TX 76104

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 Kassim A Khan MD PA's NPI number?

The NPI number for Kassim A Khan MD PA is 1710168729. It was assigned to this organization in the NPPES registry on November 19, 2007.

Where is Kassim A Khan MD PA located?

Kassim A Khan MD PA is located at 1001 12th Ave Suite 132, Fort Worth, TX 76104. The listed phone number is (817) 870-2010.

What is Kassim A Khan MD PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Kassim A Khan MD PA was last updated on October 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.