Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1609066463 Deactivated / Inactive NPI Male Practitioner

Dr. Muhammad Atif Khan , MD

Pediatrics • Campbellsville, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Muhammad Khan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 27, 2007
NPI Deactivation Date April 05, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Muhammad Khan, MD was a registered Pediatrics practicing in Campbellsville, KY. Throughout an active medical career spanning 16 years, Dr. Khan provided care at the practice location at 73 KINGSWOOD DR until profile deactivation on 2023-04-05.

Practice Location & Contact Primary Location

Practice Address

73 Kingswood Dr

Campbellsville, KY 427189604

Telephone 5027891112
Fax 5027893157
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Campbellsville, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Campbellsville, KY (910 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License KY 43565

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Katosha Russell , MSN, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1346673647

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Laree Shively , APRN

Nurse Practitioner - Family

NPI 1487261228

Advanced Practice Registered Nurse

Courtney Bowling

Nurse Practitioner

NPI 1568960748
Rachael Dobson

Nurse Practitioner - Family

NPI 1689132128
Dr. Winit Chartisathian , MD

Pediatrics - Adolescent Medicine

NPI 1811062151

Doctor of Medicine (M.D.)

Erin Hodges , APRN

Nurse Practitioner - Family

NPI 1841643806

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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NPI Profile Deactivated April 05, 2023

Record deactivated on April 05, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2023

Pediatrics (License #35-130333 in OH)

NPI Profile Active March 24, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 24, 2017

Registered at 700 CHILDRENS DR, COLUMBUS, OH 432052664 (Tel: 6147224384)

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Updated Business Mailing Address March 24, 2017

Registered at 700 CHILDRENS DR, COLUMBUS, OH 432052664 (Tel: 6147224384)

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Provider Name / Credentials Updated March 24, 2017

Recorded as MUHAMMAD KHAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

Pediatrics (License #35-130333 in OH)

NPI Profile Active October 05, 2012

NPI status registered as active in NPPES database

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Updated Practice Location October 05, 2012

Registered at 73 KINGSWOOD DR, CAMPBELLSVILLE, KY 427189604 (Tel: 5027891112)

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Updated Business Mailing Address October 05, 2012

Registered at PO BOX 2469, LOUISVILLE, KY 402012469 (Tel: 5028528500)

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Provider Name / Credentials Updated October 05, 2012

Recorded as MUHAMMAD KHAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2012

Pediatrics (License #43565 in KY)

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Initial NPI Registration & Enumeration July 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609066463
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2007
Last Update: October 05, 2012
Deactivation Date: April 05, 2023

Mailing Address

Po Box 2469

Louisville, KY 402012469

Phone: 5028528500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.