SHAMIR KHAN MD
NPI 1366298606
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 26, 2024PECOS Enrolled

4301 W MARKHAM ST, LITTLE ROCK, AR 72205(501) 686-5822 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 11, 2025, Apr 26, 2024 (2 updates tracked since 2024).

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About Shamir Khan Md NPPES

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

SHAMIR KHAN MD (NPI 1366298606) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366298606

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSHAMIR KHANCredential: MD

Location Address4301 W MARKHAM STLittle Rock, AR 72205-7101

Mailing Address6823 E 40th St NWichita, KS 67226-2408 · (316) 218-2291

Phone(501) 686-5822

Sole ProprietorYes

Enumeration DateApril 26, 2024

Last NPPES UpdateApril 11, 20252 updates tracked since enumeration

NPPES CertifiedApril 11, 2025

✔ NPI 1366298606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4301 W MARKHAM ST, Little Rock, AR 72205

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shamir Khan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.