Individual
DR. SHAFAAT ULLAH KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
332 MILL ST, HAGERSTOWN, MD 21740-6138
(301) 733-9335
(301) 733-4191
Mailing address
332 MILL ST, HAGERSTOWN, MD 21740-6138
(301) 733-9335
(301) 733-4191
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD0060377
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000166000
—
MD
01
—
107AHA
BCBS
MD
05
—
3810000788
—
WV
Enumeration date
05/04/2006
Last updated
11/24/2025
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