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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KHANI J SHAW

Active Sole Proprietor

KHANI J SHAW is a Case Management Agency healthcare provider located in LOCUST GROVE, Georgia. NPI 1396500237 is currently active in the NPPES registry. Verify at CMS.

Case Management Agency · LOCUST GROVE, GA

Registration Details

NPI Number
1396500237
Provider Type
Individual
Gender
Male
NPI Issued
Feb 20, 2024 (2.5114859451058 yrs)
Last Updated
Feb 20, 2024
Sole Proprietor
Yes

Practice Information

Address
801 CARNEGIE CT
LOCUST GROVE, GA, 302482575
Browse GA providers · Browse ZIP 30248
Phone
4703430773
Primary Specialty
Case Management Agency
251B00000X
Additional Specialty
Case Manager
Additional Specialty
Case Management Agency
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.