SHUJATH ALI KHAN MD PC (NPI# 1861674251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861674251 |
| Entity Type | Organization |
| Organization Name | SHUJATH ALI KHAN MD PC |
| Practice Address |
8121 National Ave Suite 401 Midwest City OK 73110-7530 |
| Practice Telephone | 4057326223 |
| Mailing Telephone | 4057326223 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2008-08-15 |
| Authorized Official Name | SUSAN WALLS (OFFICE MANAGER) |
| Authorized Official Telephone | 4057326223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RAILROAD MEDICARE | 1861674251 | 01 |
| OK | BLUE CROSS BLUE SHIELD | 1861674251 | 01 |
| OK | 1861674251 | 05 |
| Street Address |
8121 NATIONAL AVE SUITE 401 |
| City | MIDWEST CITY |
| State | OK |
| Zip Code | 73110-7530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255338315 | Jack E Hopkins | Optometrist | 8121 National Ave, Ste 409, Midwest City, OK 73110-7530 | 2005-07-05 |
| 1023401106 | Midwest City Eye Care Associates Pllc | Optometrist | 8121 National Ave, Suite 409, Midwest City, OK 73110-7530 | 2015-03-12 |
| 1417377474 | Heartland Medical Associates, LLC | Allergy & Immunology | 8121 National Ave, Suite 309, Midwest City, OK 73110-7530 | 2014-04-17 |
| 1013263326 | Kathleen Yang | Optometrist | 8121 National Ave, Suite 409, Midwest City, OK 73110-7530 | 2012-07-24 |
| 1801170212 | Oklahoma Sleep Institute Clinic - Mwc | Nurse Practitioner | 8121 National Ave, Suite 208, Midwest City, OK 73110-7530 | 2011-10-04 |
| 1306120845 | Endocrinology and Diabetes Specialists of Oklahoma, P.C. | Internal Medicine | 8121 National Ave, Suite 402, Midwest City, OK 73110-7530 | 2011-10-03 |
| 1548574668 | Patrick Morgan, M.d., P.C. | Internal Medicine | 8121 National Ave, Suite 402, Midwest City, OK 73110-7530 | 2010-07-30 |
| 1043523566 | Grace Mata Ruidera, M.d., P.C. | Internal Medicine | 8121 National Ave, Suite 309, Midwest City, OK 73110-7530 | 2010-07-26 |
| 1811208119 | Asim Chohan Md PC | Specialist | 8121 National Ave, Suite 400, Midwest City, OK 73110-7530 | 2010-07-01 |
| 1891939724 | Jeri Lynn Striplin | Nurse Practitioner | 8121 National Ave, Ste 400, Midwest City, OK 73110-7530 | 2009-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
| 1083225783 | Daniel B Nguyen | Pharmacist | 1601 S Air Depot, Midwest City, OK 73110 | 2020-08-14 |
| 1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
| 1467902593 | Brian Christopher Lewis | Case Manager/Care Coordinator | 8616 Cedar Ridge Drive, Midwest City, OK 73110 | 2016-10-13 |
| 1669839312 | National Iom, Pllc | Electrodiagnostic Medicine | 1205 S. Air Depot # 102, Midwest City, OK 73110 | 2016-01-26 |
| 1003292210 | Alexandrea Funston | Speech-Language Pathologist | 224 E Blossom Drive, Midwest City, OK 73110 | 2015-08-11 |
| 1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
| 1245678374 | Layfette Lamar Fletcher | Counselor | 405 Delia Street, Midwest City, OK 73110 | 2013-06-11 |
| 1114364163 | Kathryn Ann Gray | Social Worker | 1391 North Midwest Blvd., Midwest City, OK 73110 | 2013-05-31 |
| 1841542545 | Steven Atkins Akinnfest | Counselor | 417 Reed Place, Midwest City, OK 73110 | 2012-10-05 |
| Find all providers in zip 73110 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750441804 | Avinash C. Vyas Md | Internal Medicine | 6908 E Reno Ave, Midwest City, OK 73110-2128 | 2006-12-11 |
| 1568490183 | Shujath A Khan | Internal Medicine | 8121 National Ave, Suit 401, Midwest City, OK 73110-7530 | 2006-06-30 |
| 1710962071 | Baolong Nguyen | Internal Medicine | 8121 National Ave, Ste 303, Midwest City, OK 73110-7530 | 2005-12-09 |
| 1407830342 | Sikandar Aba Ali Mesiya | Internal Medicine | 8121 National Ave, Ste 303, Midwest City, OK 73110-7530 | 2005-12-05 |
| 1689658882 | Larry A. Bookman | Internal Medicine | 8121 National Ave, Ste 303, Midwest City, OK 73110-7530 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1568706554 | Ahmad S Jazzar | Internal Medicine | 5617 Normandy Ter, Oklahoma City, OK 73142-1823 | 2012-11-15 |
| 1730444886 | Molly Beth Lindquist Disbrow | Internal Medicine | 920 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104-5036 | 2012-07-05 |
| 1306111448 | Southwest Gastroenterology Associates Pllc | Internal Medicine | 525 Sw 80th Street, Suite 200, Oklahoma City, OK 73139 | 2012-03-21 |
| 1154611457 | Aatish Mukesh Patel | Internal Medicine | 4200 E Skelly Dr Ste 700, Tulsa, OK 74135-3256 | 2011-04-08 |
| 1447478722 | Richard W. Seifert, M.d., Inc | Internal Medicine | 1145 S. Utica, Suite 909, Tulsa, OK 74104 | 2007-04-23 |
| 1528199866 | Verapan Vongthavaravat | Internal Medicine | 4811 Gaillardia Pkwy Ste 200, Oklahoma City, OK 73142-1874 | 2007-03-08 |
| 1992852875 | Shih-kuang Hong | Internal Medicine | 3110 Sw 89th St Ste 104, Oklahoma City, OK 73159-7920 | 2007-01-04 |
| 1407920036 | Robert Edward Ringrose | Internal Medicine | 324 E Oklahoma Ave, Guthrie, OK 73044-3315 | 2006-11-17 |
| 1083709430 | Imad A Zantout | Internal Medicine | 4200 W.memorial Road, Suite 305, Oklahoma City, OK 73120 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | MIDWEST CITY |
| Zip Code | 73110 |
Please comment or provide details below to improve the information on SHUJATH ALI KHAN MD PC.
| 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.