MEDICARE: OWAIS KHAN

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1992594758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OWAIS KHAN

Provider Business Mailing Address
First Line	:	3282 COLLEGE STREET
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77701
Country	:	US
Telephone Number	:	409-718-6612
Fax Number	:

Provider Business Practice Location Address
First Line	:	3080 COLLEGE STREET, BAPTIST HOSPITALS OF SOUTHEAST TEX
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77701
Country	:	US
Telephone Number	:	409-718-6612
Fax Number	:

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

Provider Enumeration Date	:	05/06/2025
Last Update Date	:	01/20/2026

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Directions to “ OWAIS KHAN ” Practice Location

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