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NPI Code Detail

MEDICARE: AZADI HEALTH, PLLC

MEDICARE: AZADI HEALTH, PLLC
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
1207LP2900XPain Medicine (Anesthesiology) Physician
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1487406070
Entity Type Code : Organization
Provider Name (Legal Business Name) : AZADI HEALTH, PLLC
Provider Business Mailing Address
First Line : 4622 SAINT AMAND CIR
Second Line :
City : FORT WORTH
State : TX
Zip : 76126-1945
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4622 SAINT AMAND CIR
Second Line :
City : FORT WORTH
State : TX
Zip : 76126-1945
Country : US
Telephone Number : 512-587-9031
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SUHAIL KHAN
Credential : MD
Telephone Number : 512-587-9031
Provider Enumeration Date : 04/04/2024
Last Update Date : 10/30/2025

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