Individual
SHAMEEN KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
222 SCHANCK RD, SUITE 203, FREEHOLD, NJ 07728-3068
(732) 431-8266
(732) 294-9794
Mailing address
222 SCHANCK RD, SUITE 203, FREEHOLD, NJ 07728-3068
(732) 431-8266
(732) 294-9794
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB08560800
NJ
207RI0200X
Infectious Disease Physician
Primary
25MB08560800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386975324
QUALCARE PPO/HMO
NJ
01
—
211545
CHN
NJ
01
—
3813587000
AMERIHEALTH
NJ
01
—
392723
U.S. FAMILY HEALTH
NJ
01
—
5153120
AETNA HMO
NJ
01
—
7688987
CIGNA, GREATWEST
NJ
01
—
9419561
AETNA PPO
NJ
Enumeration date
01/14/2010
Last updated
02/10/2026
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