Shazia Khan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.32116 Issued in AL

Practice address

1736 E Main St
Dothan, AL 36301

Phone

(334) 712-9999

NPI assigned

Mar 7, 2016

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

Enrolled in AL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Gregg Soifer, MD, LLC

  • Family Medicine Physician
  • Cumming, GA
  • NPI 1457088833

  AL

  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1659731487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678402",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678402",
            "telephone_number": "334-712-9999",
            "fax_number": "334-702-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-712-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2543 Ross Clark Cir",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363014925",
            "country_code": "US",
            "telephone_number": "334-712-9999",
            "fax_number": "334-702-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAZIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.32116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Fernanda Kewish, MD
• Key Changes, LLC
• Richard D Key, M.D.
• John Arthur Keyton III, DMD
• Imran Khalil, M.D
• Claud Khater
• Abdul Haseeb Khatri, MD
• Mohamad Ayman Khedari, MD
• Shanna Killebrew, PA-C
• Todd Killingsworth, AT

• Family Medicine Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.