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General NPI Number Information
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NPI Number | 1952671521
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Entity Type | Organization
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Legal Business Name | L.A. KHAN, M.D., P.A.
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 17202 RED OAK DR. SUITE 303
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City | HOUSTON
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State | TX
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Zip | 77090-2639
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Country | US
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Telephone | 281-440-9500
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Fax | 281-440-3715
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Provider Business Mailing Address
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Address Line | 17202 RED OAK DR. SUITE 303
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City | HOUSTON
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State | TX
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Zip | 77090-2639
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Country | US
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Telephone | 281-440-9500
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Fax | 281-440-3715
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Authorized Official
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Title or Position | DIRECTOR AND PRESIDENT
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Name | DR. LAEEQ AHMAD KHAN
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Credential | M.D.
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Telephone | 281-440-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | E7139
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License Number State | TX
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