Healthcare Provider Details

I. General information

NPI: 1750385290
Provider Name (Legal Business Name): SAIRA KHAN M. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 08/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 KIRBY DR STE 600
HOUSTON TX
77098-3926
US

IV. Provider business mailing address

3701 KIRBY DR STE 600
HOUSTON TX
77098-3926
US

V. Phone/Fax

Practice location:
  • Phone: 713-798-7748
  • Fax:
Mailing address:
  • Phone: 713-798-7748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberL9281
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: