DR. SHAUKAT A KHAN (NPI# 1821109562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821109562 |
| Entity Type | Individual |
| Full Name | DR. SHAUKAT A KHAN |
| Credential | M.D., |
| Practice Address |
3806 W 86th St Indianapolis IN 46268-1905 |
| Practice Telephone | 3177315887 |
| Practice Fax Number | 3177315892 |
| Mailing Telephone | 3177315887 |
| Mailing Fax Number | 3177315892 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 01049121A | IN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 01049121A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CSR | 01049121B | 01 |
| IN | IN LICENSE | 01049121A | 01 |
| IN | 200985910 | 05 | |
| DEA | BK6514409 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184732000 | Shaukat H Khan | Internal Medicine | 555 Delaware Ave, Suite 1, Palmerton, PA 18071-1947 | 2006-08-29 |
| 1205945912 | Shaukat Ali Khan | Psychiatry & Neurology | 5016 North University Street, Suite 104, Peoria, IL 61614-4763 | 2006-08-29 |
| 1346720307 | Shaukat Ali Khan | Occupational Therapist | 524 Village Rd, Port Lavaca, TX 77979-2380 | 2018-08-20 |
| 1972692358 | Shaukat A Khan | Internal Medicine | 1320 N Michigan Ave, Suite 7, Saginaw, MI 48602-4751 | 2006-10-12 |
| 1487750410 | Shaukat A Khan | Psychiatry & Neurology | 950 Campbell Ave, West Haven, CT 06516-2770 | 2006-09-16 |
| 1477549871 | Shaukat Ali Khan | Internal Medicine | 2905 Crouse Ln, Burlington, NC 27215-8833 | 2005-09-21 |
| Street Address |
3806 W 86TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46268-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588811087 | International Family Medicine and Walk-in Care Center, Inc | Clinic/Center | 3806 W 86th St, Indianapolis, IN 46268-1905 | 2008-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083116552 | Advantage Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 7710 Moller Rd, Indianapolis, IN 46268 | 2018-03-01 |
| 1285132324 | Seth Cochrill | Orthotist | 3445 W. 96th St., Indianapolis, IN 46268 | 2018-01-23 |
| 1902323371 | Erica Outlaw | Behavioral Analyst | 7732 Bancaster Drive, Indianapolis, IN 46268 | 2017-08-27 |
| 1649518135 | Phlebotomy Connection, LLC | Clinical Medical Laboratory | 3806 West 86th St, Suite B, Indianapolis, IN 46268 | 2013-01-18 |
| 1124377924 | Planned Parenthood of Indiana Georgetown | Clinic/Center | 8590 Georgetown Rd., Indianapolis, IN 46268 | 2012-09-07 |
| 1255621561 | National Mentor Healthcare, LLC | Custodial Care Facility | 2815 Spring Meadow Ct, Indianapolis, IN 46268 | 2011-04-08 |
| 1306009485 | Augusta Dental Office, P.C. | Dentist | 7141 N. Michigan Rd, Indianapolis, IN 46268 | 2008-07-08 |
| 1326242058 | Cletis R Foster | Dentist | 3810 W 86th Street, Indpls, IN 46268 | 2007-06-14 |
| 1871717041 | Home Health Care Services LLC | Home Health | 5455 West 86th Street, Ste 200, Indianapolis, IN 46268 | 2007-04-12 |
| 1699895995 | Preferred Dental Care, PC | Dentist | 8280 North Michigan Rd, Suite A, Indianapolis, IN 46268 | 2007-03-30 |
| Find all providers in zip 46268 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1134765993 | Basil Vareldzis | Family Medicine | 9125 Nautical Watch Dr, Indianapolis, IN 46236-9036 | 2019-11-26 |
| 1366084329 | Rebekah Venable | Family Medicine | 5455 W 86th St Ste 210, Indianapolis, IN 46268-1530 | 2019-10-11 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1386150043 | Brengle Family Medicine | Family Medicine | 8803 N Meridian St Ste 350, Indianapolis, IN 46260-5386 | 2017-12-18 |
| 1164937249 | Amy Cheung | Family Medicine | 6484 N Chester Ave, Indianapolis, IN 46220-4422 | 2017-12-11 |
| 1578017182 | Medical Specialty LLC | Family Medicine | 2301 N Meridian St, Indianapolis, IN 46208-5729 | 2016-08-11 |
| 1245685742 | Christopher Basom | Family Medicine | 8501 E 56th St Ste 120, Indianapolis, IN 46216-2118 | 2016-05-03 |
| 1760846877 | Catherine Gambale Trigonis | Family Medicine | 404 E Washington St Ste A, Indianapolis, IN 46204 | 2016-04-06 |
| 1205204203 | Community Health Network | Family Medicine | 1643 E Hanna Ave, Ste 108, Indianapolis, IN 46227-3655 | 2015-09-08 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46268 |
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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.