MEDICARE: AHMAD KHARSA

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207W00000X	Ophthalmology Physician	W4864	TX

General Provider Information

NPI Number	:	1477290617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMAD KHARSA

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

Provider Business Practice Location Address
First Line	:	4625 SOUTHWEST FWY STE 140
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-7100
Country	:	US
Telephone Number	:	346-523-0702
Fax Number	:

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

Provider Enumeration Date	:	05/18/2022
Last Update Date	:	04/15/2026

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Directions to “ AHMAD KHARSA ” Practice Location

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