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NPI Code Detail

MEDICARE: SHAN A KHAN

MEDICARE: SHAN A 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
1225200000XPhysical Therapy Assistant2144959TX

General Provider Information

NPI Number : 1396353348
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAN A KHAN
Provider Business Mailing Address
First Line : 20333 STATE HIGHWAY 249 STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77070-2613
Country : US
Telephone Number : 504-723-0058
Fax Number :
Provider Business Practice Location Address
First Line : 20333 STATE HIGHWAY 249 STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77070-2613
Country : US
Telephone Number : 504-723-0058
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2020
Last Update Date : 07/15/2020

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Directions to “ SHAN A KHAN ” Practice Location

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