MEDICARE: NP KHARA TELEHEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1043922727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NP KHARA TELEHEALTH

Provider Business Mailing Address
First Line	:	6227 DUKE TRAIL LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4466
Country	:	US
Telephone Number	:	832-955-5337
Fax Number	:

Provider Business Practice Location Address
First Line	:	6227 DUKE TRAIL LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4466
Country	:	US
Telephone Number	:	832-955-5337
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	BHAVJEET KHARA
Credential	:
Telephone Number	:	832-955-5337

Provider Enumeration Date	:	12/14/2022
Last Update Date	:	06/13/2023

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