| Shakil A Khan Md Pc | |
|
6869 5th Ave S Birmingham AL 35212-1866 | |
| (205) 838-2031 | |
| (205) 838-2073 |
| Full Name | Shakil A Khan Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6869 5th Ave S, Birmingham, Alabama |
| Authorized Official Name and Position | Shakil A Khan (OWNER/PSYCHIATRIST) |
| Authorized Official Contact | 2058382031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shakil A Khan Md Pc 620 Bayhill Rd Birmingham AL 35244-3308 Ph: (205) 838-2031 | Shakil A Khan Md Pc 6869 5th Ave S Birmingham AL 35212-1866 Ph: (205) 838-2031 |
| NPI Number | 1528399078 |
|---|---|
| Provider Enumeration Date | 01/22/2010 |
| Last Update Date | 01/22/2010 |
| Medicare PECOS PAC ID | 5092859546 |
|---|---|
| Medicare Enrollment ID | O20100222000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528399078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 21066 (Alabama) | Primary |
| Provider Name | Shakil A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932148434 PECOS PAC ID: 1557405099 Enrollment ID: I20100222000233 |
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