Individual
DR. SHAHROKH CHARLES KHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
900 CUMMINGS CENTER, SUITE 303V, BEVERLY, MA 01915-6181
(978) 922-1344
(978) 922-1346
Mailing address
47 WALKER ROAD, MANCHESTER, MA 01944-1632
(978) 922-1344
(978) 922-1346
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
234349
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020008502
UNIVERA
NY
01
—
005238835
BCBS
NY
05
—
01592773
—
NY
01
—
0808437
IHA
NY
05
—
110084000A
—
MA
Enumeration date
02/28/2006
Last updated
12/20/2021
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