MEDICARE: DR. NASIR 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	207P00000X	Emergency Medicine Physician	L6462	TX
2	207Q00000X	Family Medicine Physician	L6462	TX

General Provider Information

NPI Number	:	1659328714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NASIR KHAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 41650
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19101-1650
Country	:	US
Telephone Number	:	800-355-3818
Fax Number	:	214-712-2487

Provider Business Practice Location Address
First Line	:	4200 PORTSMOUTH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-6812
Country	:	US
Telephone Number	:	713-774-7611
Fax Number	:	214-712-2487

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

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	09/11/2025

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