MEDICARE: UNITED GASTROENTEROLOGY ASSOCIATES PLLC

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	207RG0100X	Gastroenterology Physician

General Provider Information

NPI Number	:	1538911318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED GASTROENTEROLOGY ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	705 S FRY RD STE 235
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-2253
Country	:	US
Telephone Number	:	346-340-4414
Fax Number	:	346-340-4416

Provider Business Practice Location Address
First Line	:	705 S FRY RD STE 235
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-2253
Country	:	US
Telephone Number	:	917-704-5391
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	MUHAMMAD ALI KHAN
Credential	:	MD
Telephone Number	:	917-704-5391

Provider Enumeration Date	:	04/04/2024
Last Update Date	:	01/20/2026

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