P Praxis·MD
● Active Type 1 · Individual

Shabaz Ali Khan, MD

Internal Medicine·Addison, TX· NPI 1366430076 · Enumerated 2005 · 20 years on NPI
Khan is 1 of 24 internal medicine providers in Addison and 1 of 12343 in Texas.
NPI age
20 years
Enumerated 2005-10-07
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
TX, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-03-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 12343 active internal medicine providers in Texas.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
2 states
Top 88% — 12% of peers are multi-state
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-10Enumerated in NPPES
2005 2026

Where they practice

Practice location
14131 Midway Rd, Suite 620
Addison, TX 750013623
📞 9722490200fax 9722490206
Mailing address
14131 Midway Rd, Suite 620
Addison, TX 750013623
📞 9722490200fax 9722490206

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    TX license #M2671TN license #028345 taxonomy 207R00000X

Identifiers

TypeValueNotes
05 (TX) 182315501
01 (TX) 8P5792 BCBS
05 (GA) 000728714A
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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