| Shahida A Khan Md | |
|
8490 E National Rd South Vienna OH 45369-9707 | |
| (937) 568-4044 | |
| Not Available |
| Full Name | Shahida A Khan Md |
|---|---|
| Speciality | Family Medicine |
| Location | 8490 E National Rd, South Vienna, Ohio |
| Authorized Official Name and Position | Shahida Aziz Khan (PRESIDENT) |
| Authorized Official Contact | 9375684044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahida A Khan Md Po Box 182255 Columbus OH 43218-2255 Ph: (614) 430-5730 | Shahida A Khan Md 8490 E National Rd South Vienna OH 45369-9707 Ph: (937) 568-4044 |
| NPI Number | 1083807457 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083807457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Countryside Acute Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Main St, South Vienna, OH 45369 Phone: 937-000-0000 |