Khan, Shabaz Ali

Khan, Shabaz Ali is an individual health care provider with primary practice located at 14131 Midway Rd Suite 620, Addison TX 75001-3623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khan, Shabaz Ali can be contacted via phone (972) 249-0200.

Contact Information

Primary practice address
14131 Midway Rd Suite 620 Addison TX 75001-3623
Phone: (972) 249-0200
Fax: (972) 249-0206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 028345 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M2671 Texas

Profile Details

NPI number 1366430076
LBN Legal business name Khan, Shabaz Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Mar 31st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366430076 NPPES
Texas MEDICAID 182315501
Texas Other 8P5792
Texas MEDICAID 000728714A

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