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General NPI Number Information
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NPI Number | 1851665467
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Entity Type | Individual
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Provider Name | MOHAMMED KHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 3200 LONG PRAIRIE RD STE.100
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City | FLOWER MOUND
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State | TX
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Zip | 75022-2718
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Country | US
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Telephone | 248-987-8381
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 LONG PRAIRIE RD STE.100
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City | FLOWER MOUND
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State | TX
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Zip | 75022-2718
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Country | US
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Telephone | 248-987-8381
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA09061300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | P6987
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License Number State | TX
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