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Shayaan M Khan

Dentist in Boston, MA. Individual provider (NPI-1).

NPI number1124867544
StatusActive
Last updated in NPPESOct 10, 2025

Details

NPI
1124867544
Entity type
Individual (NPI-1)
Name
Shayaan M Khan
Sex
Male
Sole proprietor
No
Enumeration date
May 23, 2024
Certification date
Oct 10, 2025
Last updated
Oct 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist41845TXYes

Practice location

1 Kneeland St
Boston, MA 02111-1527

Phone 407-432-1601

Mailing address

1 Kneeland St
Boston, MA 02111-1527

Phone 407-432-1601

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