| Azmat S Khan Md Pa | |
|
21314 Provincial Blvd Katy TX 77450-7580 | |
| (281) 579-1718 | |
| Not Available |
| Full Name | Azmat S Khan Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 21314 Provincial Blvd, Katy, Texas |
| Authorized Official Name and Position | Azmat S Khan (OWNER) |
| Authorized Official Contact | 2815791718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azmat S Khan Md Pa 21314 Provincial Blvd Katy TX 77450-7580 Ph: () - | Azmat S Khan Md Pa 21314 Provincial Blvd Katy TX 77450-7580 Ph: (281) 579-1718 |
| NPI Number | 1730482548 |
|---|---|
| Provider Enumeration Date | 12/16/2010 |
| Last Update Date | 12/16/2010 |
| Medicare PECOS PAC ID | 9133394091 |
|---|---|
| Medicare Enrollment ID | O20111205000901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730482548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M5282 (Texas) | Primary |
| Provider Name | Azmat S Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407927486 PECOS PAC ID: 3274635982 Enrollment ID: I20070227000618 |
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