Healthcare Provider Details

I. General information

NPI: 1881376762
Provider Name (Legal Business Name): AISHA KHAN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W FM 544 STE 112
MURPHY TX
75094-4200
US

IV. Provider business mailing address

601 W FM 544 STE 112
MURPHY TX
75094-4200
US

V. Phone/Fax

Practice location:
  • Phone: 925-915-1387
  • Fax:
Mailing address:
  • Phone: 925-915-1387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AISHA KHAN
Title or Position: PRESIDENT
Credential:
Phone: 925-915-1387