Individual
SHAHZAD A KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 IRON STREET, SUITE B, LEHIGHTON, PA 18235-1949
(610) 379-4677
(610) 379-4678
Mailing address
525 IRON STREET, SUITE B, LEHIGHTON, PA 18235-1949
(610) 379-4677
(610) 379-4678
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD111404
MO
2084N0400X
Neurology Physician
Primary
MD431649
PA
2084N0600X
Clinical Neurophysiology Physician
MD-431649
PA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
MD-431649
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102004244-001
MEDIAL ASSISTANT
PA
01
—
130018287
RR MEDICARE
MO
05
—
209784305
—
MO
Enumeration date
05/03/2006
Last updated
01/10/2019
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