Individual
DR. SHAHNAWAZ AHMED KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2533 AUGUSTINE HERMAN HWY, SUITE A, CHESAPEAKE CITY, MD 21915-1414
(410) 885-5018
(410) 885-5026
Mailing address
2533 AUGUSTINE HERMAN HWY, SUITE A, CHESAPEAKE CITY, MD 21915
(410) 885-5018
(410) 885-5026
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
22462
OK
173000000X
Legal Medicine
22462
OK
207Q00000X
Family Medicine Physician
C1-0009568
DE
207Q00000X
Family Medicine Physician
Primary
D0062190
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200007490A
—
MD
05
—
200007490A
—
OK
Enumeration date
09/06/2006
Last updated
07/17/2013
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