SHAMIM S KHAN MD
NPI 1073035549
Family Medicine in Waterloo, IA

Q: What is Shamim Khan's NPI number?

The NPI number for Shamim Khan is 1073035549. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Q: What is Shamim Khan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shamim Khan was last updated on July 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2017

2055 KIMBALL AVE STE 101, WATERLOO, IA 50702(319) 272-2112(319) 272-2107 Get Directions Write a Review

NPPES record last updated: July 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shamim S Khan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAMIM S KHAN MD (NPI 1073035549) is an individual family medicine provider in Waterloo, Iowa, licensed in Iowa (R11034) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1073035549

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHAMIM S KHANCredential: MD

Location Address2055 KIMBALL AVE STE 101Waterloo, IA 50702-5047

Mailing Address2055 Kimball Ave Ste 101Waterloo, IA 50702-5047 · (319) 272-2112 · Fax (319) 272-2107

Phone(319) 272-2112

Fax(319) 272-2107

Sole ProprietorNo

Enumeration DateJuly 17, 2017

✔ NPI 1073035549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · R11034

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2055 KIMBALL AVE STE 101, Waterloo, IA 50702

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KURTIS ALAN LUCAS MD

Family Medicine