MEDICARE: AHMED KHAN MD PA

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	208600000X	Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DG9257	OTHER	TX	RAIL ROAD MEDICARE

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

General Provider Information

NPI Number	:	1932303245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHMED KHAN MD PA

Provider Business Mailing Address
First Line	:	2919 HAMPTON F222
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224
Country	:	US
Telephone Number	:	972-307-3920
Fax Number	:	214-221-5600

Provider Business Practice Location Address
First Line	:	2919 S HAMPTON RD # F222
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-3026
Country	:	US
Telephone Number	:	972-307-3920
Fax Number	:	214-221-5600

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	AHMED KHAN
Credential	:	MD
Telephone Number	:	972-307-3920

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	04/28/2008

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Directions to “AHMED KHAN MD PA ” Practice Location

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