Shahida a Khan MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHAHIDA A KHAN MD

Practice address

8490 E National Rd
South Vienna, OH 45369-9707

Phone

(937) 568-4044

NPI assigned

Aug 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shahida Aziz Khan, MD

Title

President

Phone

(937) 568-4044

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1083807457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182255",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432182255",
            "telephone_number": "614-430-5730",
            "fax_number": "614-430-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8490 E NATIONAL RD",
            "city": "SOUTH VIENNA",
            "state": "OH",
            "postal_code": "453699707",
            "telephone_number": "937-568-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHIDA A KHAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHAHIDA",
        "authorized_official_middle_name": "AZIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-568-4044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahida A Khan, MD
• Miller Holdings Vienna, Inc.
• Angela Money, PTA
• McKenzie Nicole Peters
• Joann M Rowland, RN
• Shirley Dee Shoup
• South Vienna Family Dental
• South Vienna Family Dental, Irfan Khan DDS, LLC
• South Vienna Group Homes, Inc.
• Hayley Suchland

• Family Medicine Physician in South Vienna, OH
• Providers in South Vienna, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.