MEDICARE: SHAHZEB MOHAMMAD KHAN MD

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	207P00000X	Emergency Medicine Physician	2025-01378	NC
2	207P00000X	Emergency Medicine Physician	D94755	MD

General Provider Information

NPI Number	:	1073172052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHZEB MOHAMMAD KHAN MD

Provider Business Mailing Address
First Line	:	900 ELKRIDGE LANDING RD FL 2
Second Line	:
City	:	LINTHICUM
State	:	MD
Zip	:	21090-2924
Country	:	US
Telephone Number	:	443-462-5010
Fax Number	:

Provider Business Practice Location Address
First Line	:	1240 HUFFMAN MILL RD
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-8700
Country	:	US
Telephone Number	:	336-538-7000
Fax Number	:

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

Provider Enumeration Date	:	06/12/2019
Last Update Date	:	12/01/2025

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