Healthcare Provider Details

I. General information

NPI: 1003963828
Provider Name (Legal Business Name): MUHAMMAD AMAR KHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 03/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5506 S JACKSON RD
EDINBURG TX
78539-9902
US

IV. Provider business mailing address

5506 S JACKSON RD
EDINBURG TX
78539-9902
US

V. Phone/Fax

Practice location:
  • Phone: 956-661-0066
  • Fax: 956-661-0071
Mailing address:
  • Phone: 956-661-0066
  • Fax: 956-661-0071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberM6227
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: