Shabana Khan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301046990 Issued in MI

Practice address

861 Monroe St
Dearborn, MI 48124-2308

Phone

(313) 274-1800

Fax

(313) 274-8717

NPI assigned

Dec 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

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

Locations

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.

• Internal Medicine of Dearborn

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1164846739
  Medicare reassignment NPD Authorized official
• Millennium Medical Group South PC

  • Internal Medicine Physician
  • Taylor, MI
  • NPI 1265468623
  NPD (past)
• Parvez Khan MD PC,

  • Oncology Clinic/Center
  • Dearborn, MI
  • NPI 1134459662
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1770569022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242308",
            "telephone_number": "313-274-1800",
            "fax_number": "313-274-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242308",
            "telephone_number": "313-274-1800",
            "fax_number": "313-274-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHABANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301046990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770569022",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE-PREFERRED CHOICES",
            "identifier": "503292",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700H222490",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Khan, BSN, RN
• Mahwish Wali Khan I
• Mohamadomar Khalid Khan, DPT
• Parvez Khan, M.D.
• Salman Younas Khan, M.D.
• Shamaila Khan
• Taimoor Khan, DDS
• Umber Khan
• Zainab Khan
• Hassan Khanafer

• Internal Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.