MEDICARE: RABIA AWAN KHAN 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
1	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	K4103	TX
2	2084N0400X	Neurology Physician	K4103	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	364111	OTHER		ECFMG

General Provider Information

NPI Number	:	1790857407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RABIA AWAN KHAN MD

Provider Business Mailing Address
First Line	:	321 N HIGHLAND AVE STE 200
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-7371
Country	:	US
Telephone Number	:	832-641-1773
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 N HIGHLAND AVE STE 200
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-7371
Country	:	US
Telephone Number	:	832-641-1773
Fax Number	:

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

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	04/01/2024

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