MEDICARE: BUSHRA 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	2084N0400X	Neurology Physician	2026014205	MO
2	2084N0400X	Neurology Physician	U4543	TX

General Provider Information

NPI Number	:	1861747289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BUSHRA KHAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 58538
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-8538
Country	:	US
Telephone Number	:	713-774-0800
Fax Number	:	713-774-0811

Provider Business Practice Location Address
First Line	:	7500 BEECHNUT ST STE 266
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-4311
Country	:	US
Telephone Number	:	713-774-0800
Fax Number	:	713-774-0811

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

Provider Enumeration Date	:	07/23/2012
Last Update Date	:	04/14/2026

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