NPI 1972999423 · live from the CMS NPI Registry
Shan Khan, D.O.
Internal Medicine, Hospice and Palliative Medicine in Southaven, MS. National Provider Identifier 1972999423, active.
NPI record
| NPI | 1972999423 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Hospice and Palliative Medicine 207RH0002X |
| Practice location | 7601 Southcrest Pkwy, Southaven, MS 38671 |
| Practice phone | 901-226-2800 |
| Mailing address | 3805 Lighthouse Ln, Lakeland, TN 38002 |
| Enumerated | April 11, 2015 |
| Last updated | October 22, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | DO0000003262 (TN) |
| Internal Medicine, Hospice and Palliative Medicine primary | 207RH0002X | 25198 (MS) |
| Internal Medicine | 207R00000X | 25198 (MS) |
| Internal Medicine, Nephrology | 207RN0300X | DO0000003262 (TN) |
| Internal Medicine | 207R00000X | DO0000003262 (TN) |
| Internal Medicine, Nephrology | 207RN0300X | 25198 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.