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NPI Code Detail

MEDICARE: HAMZA KHAN

MEDICARE: HAMZA KHAN
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
1225100000XPhysical Therapist1392322TX

General Provider Information

NPI Number : 1770330755
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAMZA KHAN
Provider Business Mailing Address
First Line : 1113 CEDAR LAKE CT
Second Line :
City : WYLIE
State : TX
Zip : 75098-4899
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6101 W PLANO PKWY STE 250
Second Line :
City : PLANO
State : TX
Zip : 75093-8372
Country : US
Telephone Number : 469-606-1179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2024
Last Update Date : 08/07/2025

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Directions to “ HAMZA KHAN ” Practice Location

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