MEDICARE: DR. TARIF HISHAM KHAIR M.D.

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
1	207R00000X	Internal Medicine Physician	P0244	TX
2	207RC0000X	Cardiovascular Disease Physician	P0244	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P0244	OTHER	TX	TEXAS MEDICAL BOARD LICENSE
2	N0181577	OTHER	TX	DPS

General Provider Information

NPI Number	:	1255524179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TARIF HISHAM KHAIR M.D.

Provider Business Mailing Address
First Line	:	6410 FANNIN STREET
Second Line	:	SUITE 600
City	:	HOUSTON
State	:	TX
Zip	:	77030-5389
Country	:	US
Telephone Number	:	832-325-7211
Fax Number	:	713-512-2245

Provider Business Practice Location Address
First Line	:	6410 FANNIN STREET
Second Line	:	SUITE 600
City	:	HOUSTON
State	:	TX
Zip	:	77030-5389
Country	:	US
Telephone Number	:	832-325-7211
Fax Number	:	713-512-2245

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	02/23/2024

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