MEDICARE: DR. MOHAMED WAEL J KHIRFAN MD

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	Q7724	TX
2	207R00000X	Internal Medicine Physician	34498	AZ

General Provider Information

NPI Number	:	1124016829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMED WAEL J KHIRFAN MD

Provider Business Mailing Address
First Line	:	PO BOX 58538
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-8538
Country	:	US
Telephone Number	:	346-209-9678
Fax Number	:

Provider Business Practice Location Address
First Line	:	21216 NORTHWEST FWY STE 400
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-4696
Country	:	US
Telephone Number	:	346-209-9678
Fax Number	:

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

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	03/12/2026

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