MEDICARE: DR. KAMRAN YUNAS KHATTAK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	22201	WV
2	207L00000X	Anesthesiology Physician	0101247784	VA
3	207L00000X	Anesthesiology Physician	036-124855	IL

General Provider Information

NPI Number	:	1710946850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAMRAN YUNAS KHATTAK M.D.

Provider Business Mailing Address
First Line	:	423 WOODBRIDGE DR
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25311-9731
Country	:	US
Telephone Number	:	516-902-9827
Fax Number	:

Provider Business Practice Location Address
First Line	:	423 WOODBRIDGE DR
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25311-9731
Country	:	US
Telephone Number	:	516-902-2827
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2006
Last Update Date	:	01/09/2026

Similar Medicare Providers

1447489794 — JOANNA F FLETCHER CRNA
Practice Location Address:

423 WOODBRIDGE DR
CHARLESTON, WV
25311-9731

Practice Phone: 304-541-4737
Practice Fax:

1568735868 — AMBER DAWN OXLEY LPN
Practice Location Address:

1771 S CHARLESTON RD
JAMESTOWN, OH
45335-9731

Practice Phone: 937-559-3469
Practice Fax:

1053148494 — DAVID SAYLOR
Practice Location Address:

32 PINE VALLEY DR
CHARLESTON, WV
25320-9731

Practice Phone: 681-280-8230
Practice Fax:

1750271391 — JENNIFER RENEE THAXTON
Practice Location Address:

32 PINE VALLEY DR
CHARLESTON, WV
25320-9731

Practice Phone: 681-280-8194
Practice Fax:

1336007988 — JAMES CALVIN SMITH II
Practice Location Address:

2157 GREENBRIER ST
CHARLESTON, WV
25311-9623

Practice Phone: 304-344-5924
Practice Fax:

1184582314 — LINDSEY BRUCE LCSW
Practice Location Address:

1 KENTON DR STE 200
CHARLESTON, WV
25311-1256

Practice Phone: 304-408-3292
Practice Fax:

Directions to “ DR. KAMRAN YUNAS KHATTAK M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.