MEDICARE: NAYEL KHAN M.D.

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	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	U7453	TX
2	208600000X	Surgery Physician	U7453	TX
3	207Y00000X	Otolaryngology Physician	MT211675	PA
4	207Y00000X	Otolaryngology Physician	U7453	TX

General Provider Information

NPI Number	:	1437507167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAYEL KHAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 911230
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-1230
Country	:	US
Telephone Number	:	972-997-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	18707 HARDY OAK BLVD STE 320
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4890
Country	:	US
Telephone Number	:	210-245-2000
Fax Number	:	210-692-0258

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

Provider Enumeration Date	:	06/03/2016
Last Update Date	:	12/09/2025

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