Khan, Shafiulla

Khan, Shafiulla is an individual health care provider with primary practice located at 5611 94Th St Suite # Ln, Elmhurst NY 11373-5080. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Khan, Shafiulla can be contacted via phone (718) 271-4424.

Contact Information

Primary practice address
5611 94Th St Suite # Ln Elmhurst NY 11373-5080
Phone: (718) 271-4424
Fax: (718) 271-4799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 049662 New York

Profile Details

NPI number 1013030261
LBN Legal business name Khan, Shafiulla
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 2007 - about 18 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 1013030261 NPPES
New York MEDICAID 02320703

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