Khan, Shahida A

Khan, Shahida A is an sole proprietor health care provider with primary practice located at 8490 E National Rd , South Vienna OH 45369-9707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Khan, Shahida A can be contacted via phone (937) 568-4044.

Contact Information

Primary practice address
8490 E National Rd South Vienna OH 45369-9707
Phone: (937) 568-4044
Fax: (937) 568-4557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35060099 Ohio

Profile Details

NPI number 1477593523
LBN Legal business name Khan, Shahida A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Oct 18th, 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 1477593523 NPPES
Ohio MEDICAID 0840933
Ohio Other 080060918
Ohio Other 000000016031

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