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NPI Code Detail

MEDICARE: FARHINA KHAN IMTIAZ MD

MEDICARE: FARHINA KHAN IMTIAZ MD
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
1207V00000XObstetrics & Gynecology PhysicianL0293TX

General Provider Information

NPI Number : 1578571998
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARHINA KHAN IMTIAZ MD
Provider Business Mailing Address
First Line : 9533 HUFFMEISTER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77095-2856
Country : US
Telephone Number : 281-463-9100
Fax Number : 281-463-6194
Provider Business Practice Location Address
First Line : 9533 HUFFMEISTER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77095-2856
Country : US
Telephone Number : 281-463-9100
Fax Number : 281-463-6194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 09/16/2010

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