Physician Compare National (NPI:1265590889)

HEALTHCARE PROVIDER: JAHANGIR 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	1265590889
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123069630
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050516000235
	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	JAHANGIR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	13330 S MEMORIAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1
	Group Practice or individual's line 2 address
City	BIXBY
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	740083165
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9183941413
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	371320
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CLEVELAND AREA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y