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1700703162 NPI number — AASIM MEHMOOD KHAN MCN, RD, LD

NPI Number: 1700703162
Health Care Provider/Practitioner: AASIM MEHMOOD KHAN MCN, RD, LD

Information about “1700703162” NPI (AASIM MEHMOOD KHAN MCN, RD, LD) exists in 1700703162 in HTML format HTML  |  1700703162 in plain Text format TXT  |  1700703162 in PDF (Portable Document Format) PDF  |  1700703162 in an XML format XML  formats.

NPI Number : 1700703162 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700703162",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KHAN",
    "FirstName": "AASIM",
    "MiddleName": "MEHMOOD",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MCN, RD, LD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "353 BENTON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAIRVIEW",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75069-6810",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-688-5325",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1855 WESLEY STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PROSPER",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75078-7913",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "469-300-1392",
    "PracticeLocationAddressFaxNumber": "469-545-0621",
    "EnumerationDate": "07/06/2026",
    "LastUpdateDate": "07/06/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "133V00000X",
        "TaxonomyName": "Registered Dietitian",
        "LicenseNumber": "DT87661",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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