Shumaila G Khan

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

1205 E 1St St
Tahlequah, OK 74464-5184

Phone

(240) 708-0477

NPI assigned

Jan 30, 2025

Last updated

Jan 30, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Aki Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Tahlequah, OK
  • NPI 1477367548
  NPD Authorized official
• Prime Medical Outlet LLC

  • Durable Medical Equipment & Medical Supplies
  • Tahlequah, OK
  • NPI 1043029887
  NPD (past)

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1558174706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 E 1ST ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E 1ST ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645184",
            "telephone_number": "240-708-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHUMAILA",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Keys
• Riyad Khamis, O.D
• Laila Khan, D.O.
• Noor Mah Khan, MD
• Sarah Sohail Khan
• Felicia Heather Kidwell
• Christopher James Killsnight
• Ana Kim
• Sidney Sheyenne Kimble, BS
• Larry Kindle, CO

• Durable Medical Equipment & Medical Supplies in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.