Shahzad A Khan
Neurologist Clinical Neurophysiologist
525 Iron Street Suite B
Lehighton
, Pennsylvania 18235-1949
Shahzad A Khan
Neurologist Clinical Neurophysiologist
525 Iron Street Suite B
Lehighton
, Pennsylvania 18235-1949
(610) 379-4678
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About
Features
Specialties
- Neurologist
- Clinical Neurophysiologist
Languages spoken
- English
Location
First Address
- Shahzad A Khan
- 525 Iron Street Suite B
- Lehighton, PA
- Zip : 18235-1949
- Fax : (610) 379-4678
- Phone : (610) 379-4677
Second Address
- Shahzad A Khan
- 525 Iron Street Suite B
- Lehighton, PA
- Zip : 18235-1949
- Fax : (610) 379-4678
- Phone : (610) 379-4677
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2084N0400X | Neurologist | MD111404 | MO |
| Y | 2084N0400X | Neurologist | MD431649 | PA |
| N | 2084N0600X | Clinical Neurophysiologist | MD-431649 | PA |
National Provider Identifier
| NPI | 1689632036 |
|---|---|
| Provider Name | Shahzad A Khan |
| First Address | Lehighton, PA 18235-1949 |
| Second Address | Lehighton, PA 18235-1949 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2006 |
| Last Update Date | 10/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 102004244-001 | MEDIAL ASSISTANT (01) | PA |
| 130018287 | RR MEDICARE (01) | MO |
| 209784305 | (05) | MO |
| G71469 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.