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NPI Code Detail

MEDICARE: PANEEZ KHAKPOUR

MEDICARE: PANEEZ KHAKPOUR
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
1235Z00000XSpeech-Language Pathologist120434TX

General Provider Information

NPI Number : 1881194587
Entity Type Code : Individual
Provider Name (Legal Business Name) : PANEEZ KHAKPOUR
Provider Business Mailing Address
First Line : 4221 NEW FOREST DR
Second Line :
City : PLANO
State : TX
Zip : 75093-3133
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1431 GREENWAY DR STE 500
Second Line :
City : IRVING
State : TX
Zip : 75038-2444
Country : US
Telephone Number : 877-688-2520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2018
Last Update Date : 02/23/2024

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Directions to “ PANEEZ KHAKPOUR ” Practice Location

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