Provider Demographics
NPI:1871756007
Name:KHAN, SHAHER W (MD)
Entity type:Individual
Prefix:DR
First Name:SHAHER
Middle Name:W
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SHAHER
Other - Middle Name:W
Other - Last Name:KHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:43940 WOODWARD AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-5025
Mailing Address - Country:US
Mailing Address - Phone:734-419-1615
Mailing Address - Fax:248-934-2185
Practice Address - Street 1:43940 WOODWARD AVE STE 100
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-5025
Practice Address - Country:US
Practice Address - Phone:734-419-1615
Practice Address - Fax:248-934-2185
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301098160208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery