DR. SHAFAAT ULLAH KHAN M.D. NPI 1790733699

NPI Information

  • NPI: 1790733699
  • Provider Name: DR. SHAFAAT ULLAH KHAN, M.D.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • Address: 332 MILL ST
    HAGERSTOWN, MD
    ZIP 21740
  • Phone: (301) 733-9335

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NPI Details

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:

332 MILL ST
HAGERSTOWN, MD
ZIP 21740-138
Phone: (301) 733-9335
Fax: (301) 733-4191

The enumeration date for this NPI number is 5/4/2006 and was last updated on 11/24/2025.

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
12080A0000XPediatricsAdolescent MedicineMD0060377MARYLANDYes

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
1000166000MEDICAIDMARYLAND
2107AHAOTHERMARYLANDBCBS
33810000788MEDICAIDWEST VIRGINIA

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: 11/21/2025

NPI Synchronization or Removal

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