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General NPI Number Information
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NPI Number | 1730062209
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Entity Type | Organization
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Legal Business Name | SHAHZAD KHAN MD PLLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1231 MAHARD PKWY
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City | PROSPER
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State | TX
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Zip | 75078-5710
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Country | US
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Telephone | 945-207-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 2071 IVYWOOD LN
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City | PROSPER
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State | TX
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Zip | 75078-2437
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Country | US
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Telephone | 334-379-7487
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAHZAD KHAN
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Credential |
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Telephone | 334-379-7487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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