Healthcare Provider Details

I. General information

NPI: 1720090988
Provider Name (Legal Business Name): ALI AIJAZ KHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2026 W UNIVERSITY DR
DENTON TX
76201-0644
US

IV. Provider business mailing address

8101 CANTERBURY TER
MCKINNEY TX
75072-6944
US

V. Phone/Fax

Practice location:
  • Phone: 940-320-8100
  • Fax:
Mailing address:
  • Phone: 972-897-3901
  • Fax: 972-767-4050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberS5204
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: