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General NPI Number Information
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NPI Number | 1649865981
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Entity Type | Organization
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Legal Business Name | ADVANCED COLON CARE, PLLC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1 PROFESSIONAL PARK DR
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City | WEBSTER
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State | TX
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Zip | 77598-4123
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Country | US
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Telephone | 281-957-5655
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Fax | 281-666-8188
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Provider Business Mailing Address
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Address Line | 1407 BLAKELY GROVE LN
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City | PEARLAND
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State | TX
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Zip | 77581-3553
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Country | US
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Telephone | 832-626-5164
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Fax | 281-666-8188
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Authorized Official
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Title or Position | OWNER
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Name | DR. MOHUMMED RADWAN KHANI
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Credential |
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Telephone | 281-957-5655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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