MEDICARE: DR. FARHAN MASRUR KHAN M.D.,M.P.H.

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	2084P0800X	Psychiatry Physician	N5770	TX

General Provider Information

NPI Number	:	1811195779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARHAN MASRUR KHAN M.D.,M.P.H.

Provider Business Mailing Address
First Line	:	28423 TALL JUNIPER HILL DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-1957
Country	:	US
Telephone Number	:	281-606-9288
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 PARK GROVE LN
Second Line	:	SUITE 101
City	:	KATY
State	:	TX
Zip	:	77450-1777
Country	:	US
Telephone Number	:	281-398-1045
Fax Number	:	281-398-1437

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

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	05/14/2014

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