MR. TARIK SHARIF KHAN FNP NPI 1710247416

NPI Information

  • NPI: 1710247416
  • Provider Name: MR. TARIK SHARIF KHAN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 401 E CITY AVE
    SUITE 820
    BALA CYNWYD, PA
    ZIP 19004
  • Phone: (202) 669-7482

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NPI Details

MR. Tarik Sharif Khan, FNP is a family nurse practitioner in Bala Cynwyd, PA with 14 years of experience. MR. Tarik Sharif Khan, FNP NPI is 1710247416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

401 E CITY AVE
SUITE 820
BALA CYNWYD, PA
ZIP 19004-122
Phone: (202) 669-7482

The NPI 1710247416 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2012 and was last updated on 7/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilySP013502PENNSYLVANIAYes
2363LF0000XNurse PractitionerFamilyRN1023898DISTRICT OF COLUMBIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102945836MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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