SHAMSUL ALAM KHAN (NPI# 1124347984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124347984 |
| Entity Type | Individual |
| Full Name | SHAMSUL ALAM KHAN |
| Credential | MD |
| Practice Address |
1219 Rockingham Rd Suite#3 Rockingham NC 28379-4983 |
| Mailing Address |
Po Box 100 Rockingham NC 28380-0100 |
| Practice Telephone | 9108954140 |
| Mailing Telephone | 9108954140 |
| Mailing Fax Number | 9108954091 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 9601645 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891030A | 05 |
| Street Address |
1219 ROCKINGHAM RD SUITE#3 |
| City | ROCKINGHAM |
| State | NC |
| Zip Code | 28379-4983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043329691 | Patrick Eyaye Egbe | Pediatrics | 1219 Rockingham Rd, Suite 7, Rockingham, NC 28379-4925 | 2006-08-29 |
| 1609218577 | Foundation of Life Services | Community/Behavioral Health | 1219 Rockingham Rd, Rockingham, NC 28379-4983 | 2013-07-21 |
| 1700187242 | Esteem Family Life Center LLC | Case Management | 1219 Rockingham Rd, Rockingham, NC 28379-4983 | 2010-11-16 |
| 1629301122 | Education 1st Academy LLC | Community/Behavioral Health | 1219 Rockingham Rd, Ste 6, Rockingham, NC 28379-4983 | 2009-09-15 |
| 1538399456 | Keisha Renee Mcmillan | Psychologist | 1219 Rockingham Rd, Suite 12, Rockingham, NC 28379-4983 | 2009-07-27 |
| 1043453061 | Gerard A. Catapano | Family Medicine | 1219 Rockingham Rd, Rockingham, NC 28379-4983 | 2009-04-07 |
| 1891947560 | Esteem Family Life Center LLC | Community/Behavioral Health | 1219 Rockingham Rd, Suite 10, Rockingham, NC 28379-4925 | 2008-10-14 |
| 1770766735 | Southeastern Health Care Services, LLC | Nursing Care | 1219 Rockingham Rd, Suite 1, Rockingham, NC 28379-4983 | 2007-12-13 |
| 1205960291 | Towergate Youth and Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1219 Rockingham Rd, Rockingham, NC 28379-4983 | 2007-03-14 |
| 1497857833 | Divine Koncepts, Inc | Community Based Residential Treatment Facility, Mental Illness | 1219 Rockingham Rd, Suite 12, Rockingham, NC 28379-4983 | 2006-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
| 1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
| 1790311835 | Daymark Recovery Services Inc | Community/Behavioral Health | 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 | 2020-03-20 |
| 1639646318 | Lakir Patel | Pharmacist | 720 E Highway Business 74, Rockingham, NC 28379 | 2018-10-31 |
| 1205368180 | Karen Mclaurin | Early Intervention Provider Agency | 138 Ivy Trail, Rockingham, NC 28379 | 2017-03-30 |
| 1134574130 | Laura Mcrae Harris | Counselor | 2202 Fayetteville Road, Rockingham, NC 28379 | 2016-04-27 |
| 1275904542 | Marsha A Murphy | Counselor | 325 South Long Drive, Rockingham, NC 28379 | 2015-10-13 |
| 1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
| 1841683448 | Tawanda L Bennett | Counselor | 2202 Fayetteville Rd., Rockingham, NC 28379 | 2015-03-06 |
| 1841682846 | Patricia Ann Flowers | Counselor | 119 Rockinham Rd, Rockingham, NC 28379 | 2015-02-27 |
| Find all providers in zip 28379 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316008626 | Richmond Pediatrics | Pediatrics | 1219 Rockingham Road, Suite 3, Rockingham, NC 28379 | 2006-12-12 |
| 1043329691 | Patrick Eyaye Egbe | Pediatrics | 1219 Rockingham Rd, Suite 7, Rockingham, NC 28379-4925 | 2006-08-29 |
| 1407320336 | Stone Spring Pediatrics, LLC | Pediatrics | 3302 Albert Long Dr, Rockingham, VA 22801-2473 | 2019-01-14 |
| 1942319595 | Choice Pediatrix Pa | Pediatrics | 1219 Rockingham Rd, Suite 7, Rockingham, NC 28379-4925 | 2006-08-29 |
| 1346214822 | Paul E. Whalen Jr. | Pediatrics | 2010 Health Campus Dr, Rockingham, VA 22801-8679 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627146 | Kidzcare Pediatrics, PC | Pediatrics | Kidzcare Pediatrics, PC, 312 South Mccaskey Road, Williamston, NC 27892-2150 | 2020-10-21 |
| 1619582343 | Carolinas Physicians Network Inc | Pediatrics | 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 | 2020-09-10 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1881222404 | Victoria Marie Carvajal | Pediatrics | Cmc/levine's Children's Hospital 1000 Blythe Blvd, 4th Floor, Meb, Charlotte, NC 28203-8812 | 2020-03-30 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1689201568 | Mark Selna | Pediatrics | 13 Weybridge Pl, Chapel Hill, NC 27517-8938 | 2020-03-23 |
| 1407488349 | Beth A Scisciani | Pediatrics | 8654 Walsham Dr, Charlotte, NC 28277-1850 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
| City | ROCKINGHAM |
| Zip Code | 28379 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.