Provider Demographics
NPI:1518135904
Name:SHIRANI, KHAN Z (MD, MS, MPH, MBA)
Entity Type:Individual
Prefix:MR
First Name:KHAN
Middle Name:Z
Last Name:SHIRANI
Suffix:
Gender:M
Credentials:MD, MS, MPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6222 HICKORY HOLW
Mailing Address - Street 2:
Mailing Address - City:WINDCREST
Mailing Address - State:TX
Mailing Address - Zip Code:78239-2720
Mailing Address - Country:US
Mailing Address - Phone:937-241-3670
Mailing Address - Fax:210-615-7619
Practice Address - Street 1:414 NAVARRO ST STE 500
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205
Practice Address - Country:US
Practice Address - Phone:210-223-1145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7669207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine