| Doctor Name: | SHAHZAD KHAN |
| NPI Number: | 1205817475 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME93216 |
| Business Practice Address: | 3385 Burns Rd Suite 208 Palm Beach Gardens, FL - 334104328 |
| Business Phone Number: | 5616270772 |
| Business Fax Number: | 5615377196 |
| Mailing Address: | 3385 Burns Rd, Suite 208 PALM BEACH GARDENS |
| State: | FL |
| Postal Code: | 334104328 |
| Phone Number: | 5616270772 |
| Fax Number: | 5615377196 |
| NPI Enumeration Date: | 11/07/2005 |
| NPI Last Update Date: | 09/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME93216 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |