Individual
DR. SHAN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(901) 226-2800
(901) 226-2802
Mailing address
3805 LIGHTHOUSE LN, LAKELAND, TN 38002-8159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25198
MS
207R00000X
Internal Medicine Physician
DO0000003262
TN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
25198
MS
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
DO0000003262
TN
207RN0300X
Nephrology Physician
25198
MS
207RN0300X
Nephrology Physician
DO0000003262
TN
Other
Enumeration date
04/11/2015
Last updated
08/24/2022
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