Khani, Shahrokh Charles

Khani, Shahrokh Charles is an sole proprietor health care provider with primary practice located at 900 Cummings Center Suite 303V, Beverly MA 01915-6181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Khani, Shahrokh Charles can be contacted via phone (978) 922-1344.

Contact Information

Primary practice address
900 Cummings Center Suite 303V Beverly MA 01915-6181
Phone: (978) 922-1344
Fax: (978) 922-1346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 234349 Massachusetts

Profile Details

NPI number 1710953690
LBN Legal business name Khani, Shahrokh Charles
Credentials MD PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Dec 20th, 2021 - about 4 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 1710953690 NPPES
New York Other 00020008502 UNIVERA
New York MEDICAID 110084000A UNIVERA
New York MEDICAID 01592773 UNIVERA
New York Other 0808437 UNIVERA
New York Other 005238835 UNIVERA

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