| Dr Mir Mujtaba Ali Khan, DO | |
|
179 Interstate 45 S, Suite 300, Huntsville, TX 77340-4223 | |
| (936) 294-0152 | |
| (936) 294-9600 |
| Full Name | Dr Mir Mujtaba Ali Khan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 179 Interstate 45 S, Huntsville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831290923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M3450 (Texas) | Primary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Hospital Docs Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871792309 PECOS PAC ID: 7517052822 Enrollment ID: O20071002000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mir Mujtaba Ali Khan, DO 179 Interstate 45 S, Suite 300, Huntsville, TX 77340-4223 Ph: (936) 294-0152 | Dr Mir Mujtaba Ali Khan, DO 179 Interstate 45 S, Suite 300, Huntsville, TX 77340-4223 Ph: (936) 294-0152 |
Mr. John S Hines, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Medical Center Parkway, Ste 2, Huntsville, TX 77340 Phone: 936-291-8205 Fax: 936-291-3862 | |
Dr. Peter L Ang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Pkwy Ste 1000, Huntsville, TX 77340 Phone: 936-295-8000 | |
Nabeel A Khan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Medical Center Pkwy, Suite 1, Huntsville, TX 77340 Phone: 936-291-8205 Fax: 936-291-3862 | |
Karin Elisa Olson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Methodist Retirement Communities Creekside, 1433 Veteran's Memorial Parkway, Huntsville, TX 77340 Phone: 936-439-4700 | |
Shao-jen Chang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Medical Park Ln Ste A, Huntsville, TX 77340 Phone: 936-291-2116 Fax: 936-435-7824 | |
Sayed A Tabatabai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 119 Medical Park Ln Ste D, Huntsville, TX 77340 Phone: 936-277-1000 Fax: 936-994-9020 | |
David R Ficklen, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Medical Park Ln Ste A, Huntsville, TX 77340 Phone: 936-435-0014 Fax: 936-435-9108 |