MEDICARE: KHAN NEUROLOGY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2084P0800X	Psychiatry Physician
2	103G00000X	Clinical Neuropsychologist
3	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1790611549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KHAN NEUROLOGY PLLC

Provider Business Mailing Address
First Line	:	2200 TRADERS RD
Second Line	:
City	:	GREENVILLE
State	:	TX
Zip	:	75402-8314
Country	:	US
Telephone Number	:	945-372-3837
Fax Number	:	903-298-0732

Provider Business Practice Location Address
First Line	:	2200 TRADERS RD
Second Line	:
City	:	GREENVILLE
State	:	TX
Zip	:	75402-8314
Country	:	US
Telephone Number	:	945-372-3837
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	DR. SAUD KHAN
Credential	:
Telephone Number	:	945-372-3837

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/24/2026

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