Individual ProviderShameel KhanStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3000 Arlington Ave, Toledo, OH 43614-2595(419) 383-3805PECOS EnrollmentBased on the most recent information from CMS, provider Shameel Khan is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1255825097Provider TypeIndividualFull NameKhan, ShameelCredentialDDSGenderMaleSole ProprietorNoEnumeration Date6/15/2018Last Updated6/15/2018Contact InformationPractice LocationPractice Address3000 Arlington Ave, Toledo, OH 43614-2595Phone(419) 383-3805FaxUnlisted FaxMailing LocationMailing Address3000 Arlington Ave, Toledo, OH 43614-2595Phone(419) 383-3805FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer