MEDICARE: JUNAID A. KHAN, MD, 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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1134318769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUNAID A. KHAN, MD, PA

Provider Business Mailing Address
First Line	:	PO BOX 57831
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-7831
Country	:	US
Telephone Number	:	281-557-0001
Fax Number	:	281-554-7403

Provider Business Practice Location Address
First Line	:	450 W MEDICAL CENTER BLVD STE 308
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-4233
Country	:	US
Telephone Number	:	281-557-0001
Fax Number	:	281-554-7403

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JUNAID A. KHAN
Credential	:	MD
Telephone Number	:	281-557-0001

Provider Enumeration Date	:	10/19/2007
Last Update Date	:	08/22/2022

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