| Shujath Ali Khan Md Pc | |
|
8121 National Ave Suite 401 Midwest City OK 73110-7530 | |
| (405) 732-6223 | |
| Not Available |
| Full Name | Shujath Ali Khan Md Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 8121 National Ave, Midwest City, Oklahoma |
| Authorized Official Name and Position | Susan Walls (OFFICE MANAGER) |
| Authorized Official Contact | 4057326223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shujath Ali Khan Md Pc 8121 National Ave Suite 401 Midwest City OK 73110-7530 Ph: (405) 732-6223 | Shujath Ali Khan Md Pc 8121 National Ave Suite 401 Midwest City OK 73110-7530 Ph: (405) 732-6223 |
| NPI Number | 1861674251 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 08/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861674251 | NPI | - | NPPES |
| 1861674251 | Medicaid | OK | |
| 1861674251 | Other | OK | RAILROAD MEDICARE |
| 1861674251 | Other | OK | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207ZP0101X | Pathology - Anatomic Pathology | (* (Not Available)) | Secondary |
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