OMAR SHAHAB KHAN DO
NPI 1437903689
Student in an Organized Health Care Education/Training Program in Jackson, MI
About Omar Shahab Khan Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMAR SHAHAB KHAN DO (NPI 1437903689) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Omar Shahab Khan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
JACKSON, MI 49201
JACKSON, MI 49201
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 Omar Khan's NPI number?
The NPI number for Omar Khan is 1437903689. It was assigned to this individual provider in the NPPES registry on April 15, 2024.
Where is Omar Khan located?
Omar Khan practices at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 205-4800.
What is Omar Khan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Omar Khan enrolled in Medicare?
Yes. Omar Khan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Omar Khan was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Omar Shahab Khan, DO · NPI 1437903689
Student in an Organized Health Care Education/Training Program provider in Jackson, Michigan. Individual provider, active in the CMS NPPES registry since April 15, 2024.
## Identity
- **NPI:** 1437903689 (Entity type: Individual)
- **Enumerated:** April 15, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 205 N EAST AVE, Jackson, MI 49201-1753
- **Phone:** (517) 205-4800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1437903689) · Data from the CMS NPPES public registry.