Individual ProviderShaukat A KhanPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address950 Campbell Ave, West Haven, CT 06516-2770(203) 932-5711(203) 393-9120PECOS EnrollmentBased on the most recent information from CMS, provider Shaukat A Khan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1487750410Provider TypeIndividualFull NameKhan, Shaukat ATitleDr.CredentialM.DGenderMaleSole ProprietorYesEnumeration Date9/16/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address950 Campbell Ave, West Haven, CT 06516-2770Phone(203) 932-5711Fax(203) 937-4789Mailing LocationMailing Address15 Rainbow Rd, Bethany, CT 06524-3145Phone(203) 393-9120Fax(203) 393-9120Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense039209Connecticut