Individual
DR. SHAUKAT A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
3806 W 86TH ST, INDIANAPOLIS, IN 46268-1905
(317) 731-5887
(317) 731-5892
Mailing address
3806 W 86TH ST, INDIANAPOLIS, IN 46268-1905
(317) 731-5887
(317) 731-5892
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01049121A
IN
207Q00000X
Family Medicine Physician
Primary
01049121A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01049121A
IN LICENSE
IN
01
—
01049121B
CSR
IN
05
—
200985910
—
IN
Enumeration date
08/31/2006
Last updated
03/07/2023
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