Shahzad Khan MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME93216 Issued in FL

Legal business name

SHAHZAD KHAN MD PA

Practice address

3385 Burns Rd Ste 208
Palm Beach Gardens, FL 33410-4328

Phone

(561) 627-6493

NPI assigned

Oct 29, 2008

Organization subpart

No

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

Authorized official

Name

Shahzad Khan, M.DNPI 1205817475

Title

Owner

Phone

(561) 627-0772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahzad Khan, MD

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
  • NPI 1205817475
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1912150350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5786 SUGARCANE LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334498405",
            "telephone_number": "561-627-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 BURNS RD STE 208",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104328",
            "telephone_number": "561-627-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHZAD KHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHAHZAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-627-0772",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viviana Serna
• Ariana Serrano
• Ainsley Elizabeth Seymour
• Tiara Shackles
• Shady Salib MD LLC
• Neha Shaik, M.D.
• Connie Denise Shannon-Evans, LCSW, ACSW, MSW
• Shapiro and Borenstein Dermatology LLP
• Evan R Shapiro, MD
• Steven David Shapiro, MD

• Internal Medicine Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.