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General NPI Number Information
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NPI Number | 1548292980
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Entity Type | Individual
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Provider Name | SHAHAB A KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 1631 NORTH LOOP W SUITE # 100
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City | HOUSTON
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State | TX
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Zip | 77008-1528
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Country | US
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Telephone | 713-862-5695
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Fax | 713-863-7381
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Provider Business Mailing Address
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Address Line | 1631 NORTH LOOP W SUITE # 100
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City | HOUSTON
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State | TX
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Zip | 77008-1528
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Country | US
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Telephone | 713-862-5695
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Fax | 713-863-7381
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME82999
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | M6228
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License Number State | TX
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