Individual provider Active NPI

Shagufta P Khan, SONOGRAPHER

  • Sonography Radiologic Technologist
  • Irving, TX
National Provider Identifier
1518273036
Registry record updated Aug 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
114079 Issued in TX
Practice address
3137 Esters Rd
Irving, TX 75062-2837
Phone
(972) 904-8360
NPI assigned
Aug 21, 2010
Last updated
Aug 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/Technologist 246X00000X 00072951 TX
Sonography Radiologic Technologist 2471S1302X 114079 TX Primary
Vascular Sonography Radiologic Technologist 2471V0105X 114079 TX

Addresses

Primary practice location

3137 Esters Rd
Irving, TX 75062-2837

Mailing address

3137 Esters Rd
Irving, TX 75062-2837
Phone (972) 904-8360

Other names 1

  • Shagufta Parveen Former name

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

State licenses

LicenseStateTypeSpecialty
114079TXMDSpeech-Language Pathologist
00072951TXMDCardiovascular Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Medical Care PLLC PastSince Jan 18, 2019 Accepting new patients

Organizations & group practices 3

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": "1282348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282348800000",
    "number": "1518273036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 ESTERS RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622837",
            "telephone_number": "972-904-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 ESTERS RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622837",
            "telephone_number": "972-904-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAGUFTA",
        "middle_name": "P",
        "credential": "SONOGRAPHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-21",
        "last_updated": "2010-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "TX",
            "license": "00072951",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "TX",
            "license": "114079",
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "TX",
            "license": "114079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAGUFTA",
            "last_name": "PARVEEN",
            "credential": "SONOGRAPHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2010; 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.