Shahida A Khan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35060099 Issued in OH

Practice address

8490 E National Rd
South Vienna, OH 45369-9707

Phone

(937) 568-4044

Fax

(937) 568-4557

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1477593523",
    "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"
        },
        {
            "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",
            "fax_number": "937-568-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAHIDA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35060099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0840933",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080060918",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000016031",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina K Harshman, LPN
• Melissa Ann Hopkins, RN
• Jewel Hopping
• Deborah Kay Hughes
• KD Sue Justice
• Miller Holdings Vienna, Inc.
• Angela Money, PTA
• McKenzie Nicole Peters
• Joann M Rowland, RN
• Shahida a Khan MD

• 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.