Provider Demographics
NPI:1588739528
Name:KHAN, NAVAID A (MD)
Entity type:Individual
Prefix:DR
First Name:NAVAID
Middle Name:A
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1460
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57402-1460
Mailing Address - Country:US
Mailing Address - Phone:605-622-2545
Mailing Address - Fax:605-622-2531
Practice Address - Street 1:201 S LLOYD ST
Practice Address - Street 2:SUITE E201
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-4552
Practice Address - Country:US
Practice Address - Phone:605-622-2545
Practice Address - Fax:605-622-2531
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD50792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDKHA25334OtherBCBS OF ND
SD238476OtherMIDLANDS CHOICE
ND12254Medicaid
SD0040758OtherBCBS
SD9207088OtherDAKOTACARE
SD340071033196OtherPREFERRED ONE
SD7101630Medicaid
SDHP38418OtherHEALTH PARTNERS
SD238476OtherMIDLANDS CHOICE
SDP00040147Medicare PIN
SDS41569Medicare PIN