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General NPI Number Information
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NPI Number | 1942028394
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Entity Type | Organization
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Legal Business Name | SOUTHERN ENDOCRINOLOGY
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 7504 SAN JACINTO PL # 100
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City | PLANO
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State | TX
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Zip | 75024-3233
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Country | US
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Telephone | 972-682-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 7504 SAN JACINTO PL # 100
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City | PLANO
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State | TX
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Zip | 75024-3233
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Country | US
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Telephone | 972-682-5700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH AZIM KHAN
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Credential | MD
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Telephone | 319-427-1790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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