SHABAZ RAFIQ KHAN MD
NPI 1376245969
Student in an Organized Health Care Education/Training Program in Largo, FL

Q: What is Shabaz Khan's NPI number?

The NPI number for Shabaz Khan is 1376245969. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Shabaz Khan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shabaz Khan was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 20, 2023PECOS Enrolled

201 14TH ST SW, LARGO, FL 33770(727) 588-5704 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shabaz Rafiq Khan Md NPPES

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

SHABAZ RAFIQ KHAN MD (NPI 1376245969) is an individual student in an organized health care education/training program in Largo, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376245969

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSHABAZ RAFIQ KHANCredential: MD

Location Address201 14TH ST SWLargo, FL 33770-3133

Mailing Address201 14th St SwLargo, FL 33770-3133 · (727) 588-5704

Phone(727) 588-5704

Sole ProprietorYes

Enumeration DateMarch 20, 2023

NPPES CertifiedMarch 19, 2023

✔ NPI 1376245969 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.

201 14TH ST SW, Largo, FL 33770

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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)

Shabaz Rafiq 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.

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.

DR. RAOUL RUDOLPH BOTHA MD

Internal Medicine