Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ehtisham R. Khan, MD

Individual provider Emergency Medicine Physician · NPI 1417999335

Dr. Ehtisham R. Khan, MD is an Internal Medicine in Madison, Alabama. Qualified in 1983, 43 years ago. Practices with West Madison Urgent and Primary Care LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
43
Licensed in
AL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8371 Highway 72 W Ste 104
Madison, AL 35758-9505
Phone: (256) 265-5970
Fax: (256) 817-5956
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 19019 (AL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 00019019 (AL)

Record details

NPI number1417999335
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021
Mailing addressPo Box 2705, Huntsville, AL 35804-2705

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice West Madison Urgent And Primary Care Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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