DR. SHANE KHULLAR MB BCH BAO
NPI 1598500795
Student in an Organized Health Care Education/Training Program in Vincennes, IN

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 June 28, 2024PECOS Enrolled

520 S 7TH ST, VINCENNES, IN 47591(812) 885-6990 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Dr. Shane Khullar Mb Bch Bao NPPES

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

DR. SHANE KHULLAR MB BCH BAO (NPI 1598500795) is an individual student in an organized health care education/training program in Vincennes, Indiana, licensed in Indiana (11023872A) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598500795

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SHANE KHULLARCredential: MB BCH BAO

Location Address520 S 7TH STVincennes, IN 47591-1038

Mailing Address520 S 7th StVincennes, IN 47591-1038 · (812) 885-6990

Phone(812) 885-6990

Sole ProprietorNo

Enumeration DateJune 28, 2024

NPPES CertifiedJune 28, 2024

✔ NPI 1598500795 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

License✔ Licensed in IN · 11023872A

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.

520 S 7TH ST, Vincennes, IN 47591

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shane Khullar Mb Bch Bao 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.