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Organization
SHAHIDA A KHAN MD
Active
Organization
SHAHIDA A KHAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHIDA AZIZ KHAN MD (PRESIDENT)
(937) 568-4044
Entity
Organization
Contact information
Practice address
8490 E NATIONAL RD, SOUTH VIENNA, OH 45369-9707
(937) 568-4044
Mailing address
PO BOX 182255, COLUMBUS, OH 43218-2255
(614) 430-5730
(614) 430-5742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/20/2007
Last updated
10/18/2007
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