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General NPI Number Information
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NPI Number | 1225138753
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Entity Type | Organization
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Legal Business Name | MOHAMMAD O. KHAN, M.D., P.A.
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 08/22/2008
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Provider Practice Location Address
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Address Line | 18955 MEMORIAL NORTH #300
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City | HUMBLE
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State | TX
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Zip | 77338-4347
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Country | US
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Telephone | 281-955-0012
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Fax | 832-237-9871
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Provider Business Mailing Address
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Address Line | 10924 GRANT RD BMB412
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City | HOUSTON
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State | TX
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Zip | 77070-4445
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Country | US
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Telephone | 281-955-0012
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. MOHAMMAD O. KHAN
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Credential | M.D.
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Telephone | 281-955-0012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | L0328
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License Number State | TX
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