Shakeel Aziz Kahn, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

7633A Issued in WY

Practice address

5225 S Highway 95
Suite 5
Fort Mohave, AZ 86426-9111

Phone

(928) 768-1011

Fax

(928) 768-1075

NPI assigned

Feb 12, 2007

Last updated

Feb 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medicorp, Inc.

  • Pain Medicine Physician
  • Fort Mohave, AZ
  • NPI 1528256419
  Authorized official Same address or phone
• Vista Health Mirza MD PC

  • Cardiovascular Disease Physician
  • Fort Mohave, AZ
  • NPI 1033393194
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1760524573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 S HIGHWAY 95",
            "address_2": "SUITE 5",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269111",
            "telephone_number": "928-768-1011",
            "fax_number": "928-768-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 S HIGHWAY 95",
            "address_2": "SUITE 5",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269111",
            "telephone_number": "928-768-1011",
            "fax_number": "928-768-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "SHAKEEL",
        "middle_name": "AZIZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "37896",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WY",
            "license": "7633A",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "37896",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "AZ",
            "license": "37896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institute of Urology, LLC
• Jyhfang Jehng
• Jonathan M. Brown, D.O., P.C.
• Isabelle Joseph, DNP
• Jr Sorelle Arizona PC
• Karen F Arcotta MD LTD
• Kaye a Cunningham MD PC
• Jennifer Lyn Kempen, PHARMD
• KKTZ (Jennings & Larson Family Dentistry- Fort Mohave)
• KKTZ Dental PLLC

• Pain Medicine Physician in Fort Mohave, AZ
• Providers in Fort Mohave, AZ by specialty
• Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.