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1275549529

NPI Code Detail

MEDICARE: SANOBER M KHAN MD

MEDICARE: SANOBER M KHAN MD

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	L8760	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1275549529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANOBER M KHAN MD

Provider Business Mailing Address
First Line	:	7901 METROPOLIS DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78744-3111
Country	:	US
Telephone Number	:	512-823-4226
Fax Number	:	512-823-4166

Provider Business Practice Location Address
First Line	:	7901 METROPOLIS DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78744-3111
Country	:	US
Telephone Number	:	512-823-4336
Fax Number	:	512-823-4166

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	10/24/2019

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Directions to “ SANOBER M KHAN MD” Practice Location

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