MEDICARE: GREATER HOUSTON INFECTIOUS DISEASES CENTER PA

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	207RI0200X	Infectious Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073729687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER HOUSTON INFECTIOUS DISEASES CENTER PA

Provider Business Mailing Address
First Line	:	10924 GRANT RD
Second Line	:	PMB# 412
City	:	HOUSTON
State	:	TX
Zip	:	77070-4445
Country	:	US
Telephone Number	:	832-563-0977
Fax Number	:

Provider Business Practice Location Address
First Line	:	19701 KINGWOOD DR STE 9
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-3775
Country	:	US
Telephone Number	:	281-609-4011
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MOHAMMAD OMAR KHAN
Credential	:	M.D.
Telephone Number	:	832-563-0977

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	10/15/2025

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