Individual provider Active NPI

Khurram Shahzada

  • Contractor
  • Franklin, WI
National Provider Identifier
1093481376
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
7658 S Mission CT
Franklin, WI 53132-1842
Phone
(414) 573-0275
NPI assigned
Aug 18, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Primary

Addresses

Primary practice location

7658 S Mission CT
Franklin, WI 53132-1842

Mailing address

7658 S Mission CT
Franklin, WI 53132-1842
Phone (414) 573-0275

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Eztransportations@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1093481376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7658 S MISSION CT",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531321842",
            "telephone_number": "414-573-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7658 S MISSION CT",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531321842",
            "telephone_number": "414-573-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHZADA",
        "first_name": "KHURRAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Eztransportations@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7658 S Mission Ct",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531321842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.