Individual
SHAGUFTA A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-7284
(513) 584-3807
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5507
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
35086351
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000372761
ANTHEM
OH
01
—
07-05612
UNITED HEALTHCARE
OH
05
—
200532340
—
IN
05
—
2612686
—
OH
05
—
4860790
—
MI
05
—
64103138
—
KY
01
—
7749753
AETNA
OH
01
—
P00244523
RAILROAD MEDICARE
OH
Enumeration date
07/25/2006
Last updated
12/13/2017
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