Khurram Muhammad Shahzad, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

050506-1 Issued in NY

Practice address

Green Valley Oral Surgery and Dental Implant Center
5140 Business Center Drive Suite 120
Fairfield, CA 94534

Phone

(707) 314-3282

NPI assigned

Mar 6, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1518137439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GREEN VALLEY ORAL SURGERY AND DENTAL IMPLANT CENTER",
            "address_2": "5140 BUSINESS CENTER DRIVE SUITE 120",
            "city": "FAIRFILED",
            "state": "CA",
            "postal_code": "94534",
            "telephone_number": "707-314-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GREEN VALLEY ORAL SURGERY AND DENTAL IMPLANT CENTER",
            "address_2": "5140 BUSINESS CENTER DRIVE SUITE 120",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94534",
            "telephone_number": "707-314-3282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Bodin Circle",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945351800",
            "country_code": "US",
            "telephone_number": "707-423-7085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHZAD",
        "first_name": "KHURRAM",
        "middle_name": "MUHAMMAD",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050506-1",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "050506-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ami Shah
• Paarth Mehul Shah, MD
• Parimal K Shah, MD
• Shilpa Shah
• Imara Jana Shaheed
• Jaazar Shalabi
• Meghan Shaline-Garcia
• Janice Shannon-Cain, CRNA
• Kuldeep Sharma, DDS
• Rajni Sharma, D.D.S.

• Oral and Maxillofacial Surgery (Dentist) in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.