MEDICARE: KHANH N NGO DO

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	207Q00000X	Family Medicine Physician	K7462	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	:	1245299841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHANH N NGO DO

Provider Business Mailing Address
First Line	:	9798 BELLAIRE BLVD
Second Line	:	#D
City	:	HOUSTON
State	:	TX
Zip	:	77036-3427
Country	:	US
Telephone Number	:	713-270-7224
Fax Number	:	713-270-0084

Provider Business Practice Location Address
First Line	:	9798 BELLAIRE BLVD
Second Line	:	#D
City	:	HOUSTON
State	:	TX
Zip	:	77036-3427
Country	:	US
Telephone Number	:	713-270-7224
Fax Number	:	713-270-0084

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

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	10/25/2007

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Directions to “ KHANH N NGO DO” Practice Location

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