Individual
DR. SHAHNOOR ALI KHAN
Active
Individual
DR. SHAHNOOR ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20620
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101235819
STATE MEDICAL LICENSE
VA
05
—
2000700000
—
WV
01
—
20620
STATE MEDICAL LICENSE
WV
01
—
296305
BC ANTHEM
VA
01
—
D0064888
STATE MEDICAL LICENSE
MD
Enumeration date
09/01/2006
Last updated
12/16/2025
Update your record
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