SHAHZAD AHMED KHAN MD
NPI 1164570974
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Diego, CA
About Shahzad Ahmed Khan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAHZAD AHMED KHAN MD (NPI 1164570974) is an individual child & adolescent psychiatry provider in San Diego, California, licensed in California (C51043) and active in the NPI registry since January 2007.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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.
SAN DIEGO, CA 92120
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shahzad Khan's NPI number?
The NPI number for Shahzad Khan is 1164570974. It was assigned to this individual provider in the NPPES registry on January 8, 2007.
Where is Shahzad Khan located?
Shahzad Khan practices at 4405 Vandever Ave, San Diego, CA 92120. The listed phone number is (619) 528-5000.
What is Shahzad Khan's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
When was this NPI record last updated?
The NPPES record for Shahzad Khan was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Shahzad Ahmed Khan, MD · NPI 1164570974
Child & Adolescent Psychiatry physician in San Diego, California. Individual provider, active in the CMS NPPES registry since January 8, 2007.
## Identity
- **NPI:** 1164570974 (Entity type: Individual)
- **Enumerated:** January 8, 2007
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** C51043 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4405 VANDEVER AVE, San Diego, CA 92120-3315
- **Phone:** (619) 528-5000
## Record status
- **NPPES last updated:** November 30, 2007
- **Other identifiers:** Medicaid 00C510430 (CA); Medicare UPIN G55464
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Source: [NPI Profile](https://npiprofile.com/npi/1164570974) · Data from the CMS NPPES public registry.