Khan, Shafaat Ullah

Khan, Shafaat Ullah is an individual health care provider with primary practice located at 363 S Cleveland Ave Suite 201, Hagerstown MD 21740-5747. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Khan, Shafaat Ullah can be contacted via phone (301) 733-9335.

Contact Information

Primary practice address
363 S Cleveland Ave Suite 201 Hagerstown MD 21740-5747
Phone: (301) 733-9335
Fax: (301) 733-4191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD0060377 Maryland

Profile Details

NPI number 1790733699
LBN Legal business name Khan, Shafaat Ullah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated May 5th, 2008 - about 16 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 1790733699 NPPES
Maryland MEDICAID 000166000
Maryland Other 107AHA
Maryland MEDICAID 3810000788

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