MEDICARE: MUHAMMAD ALI 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	MD.202164	LA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	57012824	OH
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	P4191	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538348438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD ALI KHAN M.D.

Provider Business Mailing Address
First Line	:	7215 WYOMING SPGS
Second Line	:	BUILDING 2, SUITE 300A
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4312
Country	:	US
Telephone Number	:	512-388-1190
Fax Number	:	512-388-1174

Provider Business Practice Location Address
First Line	:	7215 WYOMING SPGS
Second Line	:	BUILDING 2, SUITE 300A
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4312
Country	:	US
Telephone Number	:	512-388-1190
Fax Number	:	512-388-1174

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

Provider Enumeration Date	:	10/26/2007
Last Update Date	:	02/07/2024

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Directions to “ MUHAMMAD ALI KHAN M.D.” Practice Location

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