Khaled Shunnar, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

57.025951 Issued in OH

Practice address

3000 Arlington Ave
Ms 1050, Graduate Medical Education
Toledo, OH 43614-2595

Phone

(419) 383-3687

Fax

(419) 383-2021

NPI assigned

Sep 22, 2015

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1992174767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE",
            "address_2": "MS 1050, GRADUATE MEDICAL EDUCATION",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE",
            "address_2": "MS 1050, GRADUATE MEDICAL EDUCATION",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-3687",
            "fax_number": "419-383-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUNNAR",
        "first_name": "KHALED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57.025951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shuller & Kravitz, Inc.
• Briana N Shumake, LSW
• Ideshia La'Veen Marie Shumaker
• Ricahrd P Shumate, DDS
• Mel R Shumpert Jr.
• Gracyn A Shupp
• Shuqair Transportations
• Cherilyn Marie Shurtz, M.D.
• Byron Shy
• Cassedi Shy

• Student in an Organized Health Care Education/Training Program in Toledo, OH
• Providers in Toledo, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.