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NPI Code Detail

MEDICARE: AMAN SHABI KHAN MD

MEDICARE: AMAN SHABI 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
1207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianA60839CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20208450001OTHERCAMEDICARE NSC GROUP
3ZZZ32209ZOTHERCAGROUP MEDICARE
5200046337OTHERCAMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4A60839OTHERCASTATE

General Provider Information

NPI Number : 1093721672
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMAN SHABI KHAN MD
Provider Business Mailing Address
First Line : 1850 SULLIVAN AVE
Second Line : SUITE 330
City : DALY CITY
State : CA
Zip : 94015-2223
Country : US
Telephone Number : 650-756-5630
Fax Number : 650-756-0136
Provider Business Practice Location Address
First Line : 1850 SULLIVAN AVE
Second Line : SUITE 330
City : DALY CITY
State : CA
Zip : 94015-2223
Country : US
Telephone Number : 650-756-5630
Fax Number : 650-756-0136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 12/08/2009

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Directions to “ AMAN SHABI KHAN MD” Practice Location

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