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General NPI Number Information
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NPI Number | 1215052121
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Entity Type | Individual
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Provider Name | ALI RAZA KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 6550 FANNIN ST STE 1101
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City | HOUSTON
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State | TX
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Zip | 77030-2740
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Country | US
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Telephone | 713-363-8592
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Fax | 713-790-3013
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Provider Business Mailing Address
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Address Line | 6550 FANNIN ST STE 1101
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City | HOUSTON
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State | TX
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Zip | 77030-2740
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Country | US
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Telephone | 713-363-8592
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Fax | 713-790-3013
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 036.128358
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01085018A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | U4239
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License Number State | TX
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