Individual
DR. SHAAN KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 LEGACY PLZ W, LA PORTE, IN 46350-5254
(219) 326-1234
Mailing address
7528 PERRIER DR, INDIANAPOLIS, IN 46278-1647
(317) 828-1900
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01082263A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2014
Last updated
06/02/2019
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