institution
Shujaat A Khan M D P A
Plastic and Reconstructive Surgery Physician in Fort Worth, Texas
NPI 1417138157

Shujaat A Khan M D P A is a Plastic and Reconstructive Surgery Physician based in Fort Worth, TX and is specialized in Plastic and Reconstructive Surgery. Shujaat A Khan M D P A practices in Fort Worth, TX. The NPI Number for Shujaat A Khan M D P A is 1417138157 and holds a License No. E5132 (Texas).

The current practice location address for Shujaat A Khan M D P A is 800 8Th Ave, Fort Worth, TX and can be reached out via phone at 817-335-6363 and via fax at 817-870-1222.

Location: 800 8Th Ave, Fort Worth, TX, 76104
institution
Provider Profile Details
NPI Number
1417138157
Provider Name
Shujaat A Khan M D P A
Credential
Provider Entity Type
Organization
Address
800 8Th Ave, Fort Worth, TX, 76104
Phone Number
817-335-6363
Fax Number
817-870-1222
Provider Enumeration Date
11/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
86W281 01 TX BCBS
200N93T 05 TX
4119241 01 TX AETNA
institution
Provider Business Practice Location Address Details
Address
800 8Th Ave
City
State
Zip
76104
Phone Number
817-335-6363
Fax Number
817-870-1222
person
Provider Business Mailing Address Details
Address
800 8Th Ave
City
State
Zip
76104
Phone Number
817-335-6363
Fax Number
817-870-1222
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
E5132 (Texas)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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