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NPI Code Detail

MEDICARE: GREATER HOUSTON INFECTIOUS DISEASES CENTER PA

MEDICARE: GREATER HOUSTON INFECTIOUS DISEASES CENTER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073729687
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREATER HOUSTON INFECTIOUS DISEASES CENTER PA
Provider Business Mailing Address
First Line : 10924 GRANT RD
Second Line : PMB# 412
City : HOUSTON
State : TX
Zip : 77070-4445
Country : US
Telephone Number : 832-563-0977
Fax Number :
Provider Business Practice Location Address
First Line : 19701 KINGWOOD DR STE 9
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-3775
Country : US
Telephone Number : 281-609-4011
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MOHAMMAD OMAR KHAN
Credential : M.D.
Telephone Number : 832-563-0977
Provider Enumeration Date : 05/14/2007
Last Update Date : 10/15/2025

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Directions to “GREATER HOUSTON INFECTIOUS DISEASES CENTER PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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