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SHUJAAT A KHAN M D P A
NPI 1417138157
Surgery - Plastic and Reconstructive Surgery in Fort Worth, TX

Active since November 23, 2007
800 8TH AVE, STE 404, FORT WORTH, TX 76104(817) 335-6363(817) 870-1222 Get Directions Write a Review

NPPES record last updated: September 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shujaat A Khan M D P A NPPES

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

SHUJAAT A KHAN M D P A (NPI 1417138157) is a healthcare organization registered as a plastic and reconstructive surgery in Fort Worth, Texas and active in the NPI registry since November 2007. The organization lists Shujaat A Khan, President, as its authorized official.

NPPES Registry Identity

NPI1417138157
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameSHUJAAT A KHAN M D P A
Location Address800 8TH AVE, STE 404Fort Worth, TX 76104
Mailing Address800 8th Ave, Ste 404Fort Worth, TX 76104 · (817) 335-6363 · Fax (817) 870-1222
Phone(817) 335-6363
Fax(817) 870-1222
Organization SubpartNo
Authorized OfficialShujaat A KhanPresident · (817) 335-6363
Enumeration DateNovember 23, 2007
Last NPPES UpdateSeptember 7, 2010
✔ NPI 1417138157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · E5132
Definition
A surgeon who specializes in plastic and reconstructive surgery.
800 8TH AVE, Fort Worth, TX 76104
Open in Google Maps ↗

Other Identifiers 5

Other86W281TX · Bcbs
Medicare UPINC17844TX
Medicare PIN00N93TTX
Medicaid200N93TTX
Other4119241TX · Aetna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

RICHARD T. JONES, PLLC
Chiropractor
800 8TH AVE, SUITE 114
FORT WORTH, TX 76104
Tarrant County (817) 367-9981
DR. TRAVIS CORGAN MD
Surgery
800 8TH AVE, SUITE 306
FORT WORTH, TX 76104
Tarrant County (682) 224-3748
DR. KURTT R WIX DO
Family Medicine
800 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 336-2100
LONE STAR KIDNEY CARE
Clinic/Center
800 8TH AVE, SUITE 324
FORT WORTH, TX 76104
Tarrant County (817) 480-0392
DANISHA M HUDDLESTON
Physician Assistant (Surgical)
800 8TH AVE, SUITE 616
FORT WORTH, TX 76104
Tarrant County (682) 224-3748
YUVARAJ DARREN KUMAR MD
Internal Medicine (Cardiovascular Disease)
800 8TH AVE, SUITE 406
FORT WORTH, TX 76104
Tarrant County (817) 336-4278
DR. JOHN EDWARD CHAMPION MD
Family Medicine (Adolescent Medicine)
800 8TH AVE, SUITE 532
FORT WORTH, TX 76104
Tarrant County (817) 335-4005
HALEY VARGAS
Nurse Practitioner (Family)
800 8TH AVE, SUITE 506
FORT WORTH, TX 76104
Tarrant County (817) 336-7188

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 Shujaat A Khan M D P A's NPI number?

The NPI number for Shujaat A Khan M D P A is 1417138157. It was assigned to this organization in the NPPES registry on November 23, 2007.

Where is Shujaat A Khan M D P A located?

Shujaat A Khan M D P A is located at 800 8th Ave Ste 404, Fort Worth, TX 76104. The listed phone number is (817) 335-6363.

What is Shujaat A Khan M D P A's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Shujaat A Khan M D P A was last updated on September 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.