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1568881977

NPI Code Detail

MEDICARE: MUHAMMAD SHOAIB KHAN M.D.

MEDICARE: MUHAMMAD SHOAIB KHAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	30648	OK
2	207QA0000X	Adolescent Medicine (Family Medicine) Physician	A168924	CA
3	207QA0401X	Addiction Medicine (Family Medicine) Physician	A168924	CA
4	207QA0505X	Adult Medicine Physician	A168924	CA
5	207QG0300X	Geriatric Medicine (Family Medicine) Physician	A168924	CA
6	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	A168924	CA
7	207Q00000X	Family Medicine Physician	A168924	CA

General Provider Information

NPI Number	:	1568881977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD SHOAIB KHAN M.D.

Provider Business Mailing Address
First Line	:	2625 E DIVISADERO ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93721-1431
Country	:	US
Telephone Number	:	559-443-2682
Fax Number	:	559-443-2681

Provider Business Practice Location Address
First Line	:	2823 FRESNO ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93721-1324
Country	:	US
Telephone Number	:	559-499-6450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2014
Last Update Date	:	01/23/2023

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Directions to “ MUHAMMAD SHOAIB KHAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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