MEDICARE: SHAHAB A 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	207RN0300X	Nephrology Physician	D64637	MD

General Provider Information

NPI Number	:	1336182302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHAB A KHAN M.D.

Provider Business Mailing Address
First Line	:	1589 SULPHUR SPRING RD STE 109
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21227-2542
Country	:	US
Telephone Number	:	410-536-5400
Fax Number	:	410-737-2168

Provider Business Practice Location Address
First Line	:	6934 AVIATION BLVD STE F
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-2593
Country	:	US
Telephone Number	:	410-760-3588
Fax Number	:	410-760-3604

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	01/22/2025

Similar Medicare Providers

1912860065 — UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
Practice Location Address:

6934 AVIATION BLVD
GLEN BURNIE, MD
21061-2593

Practice Phone: 667-214-1718
Practice Fax: 410-328-5147

1457214512 — UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
Practice Location Address:

6934 AVIATION BLVD
GLEN BURNIE, MD
21061-2593

Practice Phone: 667-214-1718
Practice Fax: 410-328-5147

1447258876 — DR. GERARD LOWDER M.D.
Practice Location Address:

6934 AVIATION BLVD STE F
GLEN BURNIE, MD
21061-2593

Practice Phone: 410-760-3588
Practice Fax: 410-760-3604

1083614481 — DR. DOUGLAS MITCHELL MD
Practice Location Address:

6934 AVIATION BLVD , SUITE B
GLEN BURNIE, MD
21061-2593

Practice Phone: 443-949-0814
Practice Fax:

1023089471 — ANURADHA BODDETI M.D.
Practice Location Address:

6934 AVIATION BLVD STE F
GLEN BURNIE, MD
21061-2593

Practice Phone: 410-760-3588
Practice Fax: 410-760-3604

1730383571 — DR. SUELA KABA M.D.
Practice Location Address:

6934 AVIATION BLVD , SUITE B
GLEN BURNIE, MD
21061-2593

Practice Phone: 443-949-0814
Practice Fax: 443-949-0825

Directions to “ SHAHAB A 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.