Bilal Shah Khan, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN013004 Issued in GA

Practice address

9590 Medlock Bridge Rd
Suite G
Duluth, GA 30097-4443

Phone

(770) 232-5112

Fax

(770) 232-5115

NPI assigned

Dec 31, 2007

Sex

Male

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 GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Georgia Endodontic Specialists

  • Endodontics
  • Duluth, GA
  • NPI 1174794002
  NPD (past)

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1740465483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9590 MEDLOCK BRIDGE RD",
            "address_2": "SUITE G",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974443",
            "telephone_number": "770-232-5112",
            "fax_number": "770-232-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9590 MEDLOCK BRIDGE RD",
            "address_2": "SUITE G",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974443",
            "telephone_number": "770-232-5112",
            "fax_number": "770-232-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "BILAL",
        "middle_name": "SHAH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN013004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Alexandra Kenney, PT, DPT
• Sarah E Kersey
• Keys to a Better Chance Counseling and Consulting, LLC
• Usama Khalid, M.D.
• Afrah Khan
• Fahad Ullah Khan, M.D.
• Sonya Khimani, MD
• Irina Khiyayeva
• Kidzcare Pediatrics, Inc
• S. Nyambura Kihato, M.A., M.ED., LPC

• Endodontics in Duluth, GA
• Providers in Duluth, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.