Individual
SHAHBAZ KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 GATEWAY BLVD., HAMPTON, VA 23666
(757) 594-4006
(757) 594-2195
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101240468
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578781704
—
VA
Enumeration date
04/23/2007
Last updated
02/01/2008
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