Individual provider Active NPI

Shazia Khan, M.D

  • Psychiatry Physician
  • Dover, DE
National Provider Identifier
1295962108
Registry record updated Sep 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C1-0010262 Issued in DE
Practice address
725 Horsepond Rd
Dover, DE 19901-7232
Phone
(302) 747-1100
NPI assigned
Jun 18, 2009
Last updated
Sep 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C1-0010262 DE Primary

Addresses

Primary practice location

725 Horsepond Rd
Dover, DE 19901-7232

Mailing address

PO Box 257
Odessa, DE 19730-0257
Phone (302) 747-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130904000747 DE Practitioner - PsychiatryPractitioner - Addiction Medicine 1052554458 Reassigns benefits to 1 organization
I20240125002015 MD Practitioner - Psychiatry 1052554458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crescent Behavioral Health Clinic, LLCGroup PAC ID 8123473642, 2 clinicians
Uhs of Dover LLCGroup PAC ID 4486653151, 9 clinicians

Practice addresses (Care Compare)

1208 E Churchville Rd
Suite 200
Bel Air, MD 21014-3484
Phone (410) 417-6315

725 Horsepond Rd
Dover, DE 19901-7232
Phone (302) 741-0140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Dover LLC CurrentSince Dec 28, 2016 Accepting new patients
Crescent Behavioral Health Clinic, LLC CurrentSince Jan 15, 2024 Accepting new patients

Locations

725 Horsepond Rd
Dover, DE 19901
Phone (302) 741-0140

1208 E Churchville Rd
Ste 200
Bel Air, MD 21014
Phone (410) 399-9911

390 Conowingo Rd
Conowingo, MD 21918
Phone (240) 201-9355

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537574400000",
    "number": "1295962108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 257",
            "city": "ODESSA",
            "state": "DE",
            "postal_code": "197300257",
            "telephone_number": "302-747-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 HORSEPOND RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199017232",
            "telephone_number": "302-747-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAZIA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2018-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0010262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.