Dr SHUJAATALI KHAN is a male medical professional, specializing in Anesthesiology. He graduated in 1978.
PARKVIEW HEALTH SYSTEM INC
104 NICHOLAS PL
PARKVIEW PHYS GRP
AVILLA
IN
467100069
Tel: 2608973308
| Npi | 1447267679 |
| Pac Id | 5698949246 |
| Professional Enrollment Id | I20111117000434 |
| Last Name | KHAN |
| First Name | SHUJAATALI |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1978 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialty 1 | |
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| Organization Legal Name | PARKVIEW HEALTH SYSTEM INC |
| Group Practice Pac Id | 2163336967 |
| Number Of Group Practice Members | 834 |
| Line 1 Street Address | 104 NICHOLAS PL |
| Line 2 Street Address | PARKVIEW PHYS GRP |
| Marker Of Address Line 2 Suppression | |
| City | AVILLA |
| State | IN |
| Zip Code | 467100069 |
| Phone Number | 2608973308 |
| Hospital Affiliation Ccn 1 | 151310 |
| Hospital Affiliation Lbn 1 | PARKVIEW WABASH HOSPITAL, INC |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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