Active NPIIndividual provider

Alisa Khan, MD

Pediatrics in Boston, Massachusetts

NPI Number1720212715
Practice location
300 Longwood Ave, Au-521, Children'S Hospital Boston, Harvard Pediatric Health Services Research Fellowship, Boston, MA 02115-5724
Fax
617-730-0174
Last updated
July 6, 2012

Alisa Khan is a Pediatrics based in Boston, MA. Alisa Khan practices in Boston, MA and has the professional credentials of MD. The NPI Number for Alisa Khan is 1720212715 and holds a License No. 250817 (MA). The current practice location address for Alisa Khan is 300 Longwood Ave, Au-521, Children'S Hospital Boston, Harvard Pediatric Health Services Research Fellowship, Boston, MA 02115-5724 and can be reached out via phone at 617-355-8298 and via fax at 617-730-0174.

Provider Profile Details

NPI Number
1720212715
Provider Name
Alisa Khan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
300 Longwood Ave, Au-521, Children'S Hospital Boston, Harvard Pediatric Health Services Research Fellowship, Boston, MA 02115-5724
Phone Number
617-355-8298
Fax Number
617-730-0174
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
May 6, 2009
Last Update Date
July 6, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Longwood Ave, Au-521, Children'S Hospital Boston
Harvard Pediatric Health Services Research Fellowship
Boston, MA 02115-5724
City
Boston
Zip
02115-5724
Phone Number
617-355-8298
Fax Number
617-730-0174
Boston, MA 02115Get directions →

Provider Business Mailing Address Details

Address
303 Third St
#615
Cambridge, MA 02142-1156
City
Cambridge
State
MA
Zip
02142-1156
Phone Number
410-736-3399

License Information

License Number (1)
250817
License State (1)
MA
Taxonomy (1)
Pediatrics · 208000000X · Primary
License State (2)
MD

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Pediatrics providers near Boston, MA

View all Pediatrics providers in Boston →

Frequently Asked Questions

What is the NPI number of Alisa Khan, MD?

The NPI number of Alisa Khan, MD is 1720212715. It was assigned on May 6, 2009 and is currently active in the NPPES registry.

What is the specialty of Alisa Khan, MD?

Alisa Khan, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 250817.

Where does Alisa Khan, MD practice?

The practice location is 300 Longwood Ave, Au-521, Children'S Hospital Boston, Harvard Pediatric Health Services Research Fellowship, Boston, MA 02115-5724. The office can be reached at 617-355-8298 (phone) or 617-730-0174 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720212715 directly on the NPPES registry website.

Browse related providers