SHUJAAT A KHAN M D P A – NPI #1417138157
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

SHUJAAT A KHAN M D P A is a surgeon located in FORT WORTH, TX. NPPES has assigned the NPI number 1417138157 to SHUJAAT A KHAN M D P A on November 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 16 years ago on Sep 07, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHUJAAT A KHAN M D P A below.

NPI Profile for
SHUJAAT A KHAN M D P A

NPI Number
1417138157
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHUJAAT A KHAN M D P A
Primary location
800 8TH AVE
STE 404
FORT WORTH, TX 76104
Phone: (817) 335-6363 Fax: (817) 870-1222
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHUJAAT KHAN
PRESIDENT
Phone: (817) 335-6363
Updated
Identifiers

Identifiers for SHUJAAT A KHAN M D P A

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAETNATX4119241
OTHERBCBSTX86W281
MEDICAIDTX200N93T
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
TX E5132

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.