Physician Compare National (NPI:1164684007)

HEALTHCARE PROVIDER: KAMRAN A KHAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1164684007
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012085145
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081002000481
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KHAN
	Individual professional last name
Provider First Name	KAMRAN
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	9300 W SUNSET RD
	Group Practice or individual's line 1 address
City	LAS VEGAS
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	891484844
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	530011
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HOSPITAL SWEETWATER COUNTY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	280125
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FAITH REGIONAL HEALTH SERVICES
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	290046
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SPRING VALLEY HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y