Individual
SHUJAUDDIN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 E WILLIAMSBURG RD, SANDSTON, VA 23150-2011
(804) 737-7804
Mailing address
35 E WILLIAMSBURG RD, SANDSTON, VA 23150-2011
(804) 737-7804
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101053528
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005877814
—
VA
01
—
454249
ANTHEM BCBS
VA
01
—
705067
AETNA
VA
Enumeration date
07/12/2007
Last updated
09/16/2020
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