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General NPI Number Information
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NPI Number | 1760873293
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Entity Type | Individual
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Provider Name | KHALID SHERANI MD
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Gender | Male
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Dates
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Enumeration Date | 02/05/2015
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 2602 SAINT MICHAEL DR STE 400
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City | TEXARKANA
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State | TX
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Zip | 75503-5224
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Country | US
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Telephone | 903-614-5670
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Fax |
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Provider Business Mailing Address
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Address Line | 701 AYERS ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78404-1912
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Country | US
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Telephone | 361-885-7722
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | R2972
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License Number State | TX
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