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

Imtiaz R Khan

Individual provider Surgery Physician · NPI 1306137666

Imtiaz R Khan is a Thoracic Surgery in Baton Rouge, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2011, 15 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Michigan.

Years since qualifying
15
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA, MI
In the registry since
2011
Specialties on file
4

Practice location Address checks out

2223 Quail Run Ste E
Baton Rouge, LA 70808-9063
Phone: (225) 877-2872
Show map & directions

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

Additional practice locations (1)

  • 1100 E Michigan Ave Ste 201, Jackson, MI 49201-1849 — (517) 205-1430

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 313117 (LA)
Surgery Physician Taxonomy 208600000X · Licence 4301505573 (MI)
Surgery Physician Taxonomy 208600000X · Licence 313117 (LA)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 4301505573 (MI)

Record details

NPI number1306137666
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2011
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021

Medicare enrollment

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

Medicare specialtyTHORACIC SURGERY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), GENERAL SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2011 (15 years in practice)
Group practice W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Baton Rouge