MEDICARE: ZAKA U KHAN

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	207R00000X	Internal Medicine Physician	278568	NY
2	207RC0000X	Cardiovascular Disease Physician	R1668	TX
3	207RC0001X	Clinical Cardiac Electrophysiology Physician	R2378	TX

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	:	1093048969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAKA U KHAN

Provider Business Mailing Address
First Line	:	6909 BRISBANE CT STE 300
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7146
Country	:	US
Telephone Number	:	346-279-2221
Fax Number	:

Provider Business Practice Location Address
First Line	:	6909 BRISBANE CT STE 300
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7146
Country	:	US
Telephone Number	:	346-279-2221
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2009
Last Update Date	:	07/27/2023

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Directions to “ ZAKA U KHAN ” Practice Location

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