DR. MIRKUTUB M. KHAN M.D. NPI 1588668941

NPI Information

NPI: 1588668941
Provider Name: DR. MIRKUTUB M. KHAN, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
4650 JEFFERSON LN NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 727-7900
Get Directions

DR. Mirkutub M. Khan, M.D. is a radiation oncology radiology in Albuquerque, NM. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Mirkutub M. Khan, M.D. NPI is 1588668941. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4650 JEFFERSON LN NE
ALBUQUERQUE, NM
ZIP 87109-127
Phone: (505) 727-7900
Fax: (505) 727-7942

The NPI 1588668941 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 10/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	77-199	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00023176	MEDICAID	NEW MEXICO
2	920003012	OTHER	NEW MEXICO	MEDICARE RAILROAD
3	253823	OTHER	NEW MEXICO	AHCCCS
4	D35752	MEDICARE UPIN	NEW MEXICO
5	RADIO102	MEDICARE PIN	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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