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General NPI Number Information
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NPI Number | 1528474020
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Entity Type | Individual
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Provider Name | FATIMA KHAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/03/2014
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1005 HARBORSIDE DR. FL 6
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City | GALVESTON
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State | TX
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Zip | 77555-0001
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Country | US
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Telephone | 409-722-2328
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Fax |
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Provider Business Mailing Address
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Address Line | 8755 NW 36TH ST
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City | DORAL
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State | FL
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Zip | 33178-2401
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Country | US
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Telephone | 215-285-7912
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Fax |
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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 | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 38480
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 51848
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MED-PHYS-LIC-100924
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | T7970
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | T7970
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License Number State | TX
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