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KHADIJA KHAN M.B.,B.S.
NPI 1902546575
Student in an Organized Health Care Education/Training Program in Pine Bluff, AR

Active since March 31, 2022PECOS Enrolled
1601 W 40TH AVE STE 100, PINE BLUFF, AR 71603(870) 541-6000(870) 541-6009 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Khadija Khan M.b.,b.s. NPPES

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

KHADIJA KHAN M.B.,B.S. (NPI 1902546575) is an individual student in an organized health care education/training program in Pine Bluff, Arkansas and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902546575
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKHADIJA KHANCredential: M.B.,B.S.
Location Address1601 W 40TH AVE STE 100Pine Bluff, AR 71603-6069
Mailing Address1601 W 40th Ave Ste 100Pine Bluff, AR 71603-6069 · (870) 541-6000 · Fax (870) 541-6009
Phone(870) 541-6000
Fax(870) 541-6009
Sole ProprietorNo
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1902546575 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.
1601 W 40TH AVE STE 100, Pine Bluff, AR 71603
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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)

Khadija Khan M.b.,b.s. 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.

ROBERTA NARTEY MD
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
SARVANI DEVI SARANYA PENTAKOTA
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
AHMED YAHYA AMIN MBBS
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
DR. SREE CHELLAPPAN MD
Family Medicine
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6000
MUSTAFA AL-MUSAWI
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
MARIAN O OBI MD
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
KHALED HASSAN MD
Family Medicine
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
CANDACE WILSON
Family Medicine
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6000

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 Khadija Khan's NPI number?

The NPI number for Khadija Khan is 1902546575. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Khadija Khan located?

Khadija Khan practices at 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603. The listed phone number is (870) 541-6000.

What is Khadija Khan's specialty?

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

Is Khadija Khan enrolled in Medicare?

Yes. Khadija Khan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khadija Khan was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.