| Shabaz Ali Khan, MD | |
|
14131 Midway Rd, Suite 620, Addison, TX 75001-3623 | |
| (972) 249-0200 | |
| (972) 249-0206 |
| Full Name | Shabaz Ali Khan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 14131 Midway Rd, Addison, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366430076 | NPI | - | NPPES |
| 182315501 | Medicaid | TX | |
| 8P5792 | Other | TX | BCBS |
| 000728714A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 028345 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | M2671 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| La Porte Hospital | La porte, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Physicians Of Indiana Pc | 1052795986 | 133 |
| Entity Name | Hospitalist Physicians Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306576277 PECOS PAC ID: 1052795986 Enrollment ID: O20220826000967 |
| Mailing Address | Practice Location Address |
|---|---|
| Shabaz Ali Khan, MD 14131 Midway Rd, Suite 620, Addison, TX 75001-3623 Ph: (972) 249-0200 | Shabaz Ali Khan, MD 14131 Midway Rd, Suite 620, Addison, TX 75001-3623 Ph: (972) 249-0200 |
Aneesha A. Asher, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 14131 Midway Rd, Suite 620, Addison, TX 75001 Phone: 972-249-0200 Fax: 972-249-0206 | |
Dr. Ravi B Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5080 Spectrum Dr Ste 1000e, Addison, TX 75001 Phone: 214-973-3792 | |
Soumya Yemme, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14131 Midway Rd Ste 620, Addison, TX 75001 Phone: 972-249-0200 | |
Syed A Imam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14131 Midway Rd, Suite 620, Addison, TX 75001 Phone: 972-249-0200 Fax: 972-249-0206 | |
Alexander Hung Tran, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14131 Midway Rd, Suite 620, Addison, TX 75001 Phone: 972-249-0200 Fax: 972-249-0206 | |
Dr. Hayan A. Orfaly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14131 Midway Rd, Suite 620, Addison, TX 75001 Phone: 972-249-0200 Fax: 972-249-0206 |