Healthcare Provider Details

I. General information

NPI: 1114686995
Provider Name (Legal Business Name): KHAN CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2021
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 HURSTVIEW DR
HURST TX
76054-2902
US

IV. Provider business mailing address

1840 HURSTVIEW DR
HURST TX
76054-2902
US

V. Phone/Fax

Practice location:
  • Phone: 203-528-7398
  • Fax: 214-617-1082
Mailing address:
  • Phone: 203-528-7398
  • Fax: 214-617-1082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: ARIF KHAN
Title or Position: OWNER
Credential: MD
Phone: 945-208-4044