Individual
DR. SHUJATH A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8121 NATIONAL AVE, SUIT 401, MIDWEST CITY, OK 73110-7530
(405) 732-6223
(405) 741-0414
Mailing address
8121 NATIONAL AVE, SUIT 401, MIDWEST CITY, OK 73110-7530
(405) 732-6223
(405) 741-0414
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
13081
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100018820A
—
OK
01
—
1568490183
BLUE CROSS BLUE SHIELD
OK
Enumeration date
06/30/2006
Last updated
08/18/2008
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