Individual
DR. SHAKEEL ANWAR KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12242 K PLZ STE 113, OMAHA, NE 68137-2259
(402) 334-8083
Mailing address
260 S 208TH ST, ELKHORN, NE 68022-1810
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7982
NE
1223P0300X
Periodontics
DN28570
FL
Other
Enumeration date
09/29/2023
Last updated
11/27/2023
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