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Shahryar Khan

Hospitalist

Allopathic & Osteopathic Physicians

4000 Cambridge St 6040, Ms 1020 Delp Pavilion, Kansas City, KS 66160-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Shahryar Khan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1588192116
Provider Type
Individual
Full Name
Khan, Shahryar
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/26/2017
Last Updated
5/31/2023

Contact Information

Practice Location

4000 Cambridge St 6040, Ms 1020 Delp Pavilion, Kansas City, KS 66160-0001

(913) 588-6005

Unlisted Fax

Mailing Location

4000 Cambridge St 6040, Ms 1020 Delp Pavilion, Kansas City, KS 66160-0001

(913) 588-6005

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License 04-43330 Kansas

Shahryar Khan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Poddutoori, Padma

Ahmad, Zeeshan

Marcotte, Kyle Steven

Moyer, Marshall Robert

Ullah, Sadiq

Bhakta, Maharshi

Moudgal, Anita N

Rajab, Rawan

Bailuc, Stefania Loredana

Mcgrath, Margaret