Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAN KHAN, D.O.
ActiveDR. SHAN KHAN, D.O. is a Hematology healthcare provider located in SOUTHAVEN, Mississippi. NPI 1972999423 is currently active in the NPPES registry. Verify at CMS.
Hematology · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1972999423
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2015 (11.349069364495 yrs)
- Last Updated
- Aug 24, 2022
- Licenses
-
25198 (MS)DO0000003262 (TN)DO0000003262 (TN)25198 (MS)DO0000003262 (TN)
Practice Information
- Address
-
7601 SOUTHCREST PKWYSOUTHAVEN, MS, 386714739Browse MS providers · Browse ZIP 38671
- Phone
- 9012262800
- Fax
- 9012262802
- Primary Specialty
-
Hematology
207RH0002X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Hematology
- Additional Specialty
- Nephrology
- Additional Specialty
- Nephrology
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.