DR. SHAFAAT ULLAH KHAN M.D. NPI 1790733699

NPI Information

NPI: 1790733699
Provider Name: DR. SHAFAAT ULLAH KHAN, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
363 S CLEVELAND AVE
SUITE 201
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 733-9335
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DR. Shafaat Ullah Khan, M.D. is an adolescent medicine pediatrics in Hagerstown, MD. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Shafaat Ullah Khan, M.D. NPI is 1790733699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

363 S CLEVELAND AVE
SUITE 201
HAGERSTOWN, MD
ZIP 21740-747
Phone: (301) 733-9335
Fax: (301) 733-4191

The enumeration date for this NPI number is 5/4/2006 and was last updated on 5/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	MD0060377	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	107AHA	OTHER	MARYLAND	BCBS
2	3810000788	MEDICAID	WEST VIRGINIA
3	000166000	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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