Shahida a Khan MD

NPI #1083807457 in South Vienna, Ohio

Provider Information

NPI Number: 1083807457
Entity Type: Organization
Organization Name: Shahida a Khan MD
Primary Specialty: Family Medicine
Enumeration Date: Aug 20, 2007
Last Updated: Oct 18, 2007

Practice Location

Address: 8490 E NATIONAL RD
City: South Vienna
State: Ohio
ZIP Code: 45369-9707
Phone: (937) 568-4044

Authorized Official

Name: SHAHIDA AZIZ KHAN, MD
Title: PRESIDENT
Phone: (937) 568-4044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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