Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shujaat a Khan M D P A

Organization Plastic and Reconstructive Surgery Physician · NPI 1417138157

Shujaat a Khan M D P A is a Plastic and Reconstructive Surgery Physician in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007

Practice location Address checks out

800 8th Ave Ste 404
Fort Worth, TX 76104
Phone: (817) 335-6363
Fax: (817) 870-1222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence E5132 (TX)

Record details

NPI number1417138157
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shujaat Khan — President · (817) 335-6363
NPI enumeratedNovember 23, 2007
Last updated in NPPESSeptember 7, 2010
Mailing address800 8th Ave, Ste 404, Fort Worth, TX 76104

Other providers in Fort Worth