Provider Demographics
NPI:1003074634
Name:KHAZANA HEALTHCARE LLC
Entity Type:Organization
Organization Name:KHAZANA HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAILENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUKLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-773-4505
Mailing Address - Street 1:6300 HILLCROFT ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3006
Mailing Address - Country:US
Mailing Address - Phone:713-773-4505
Mailing Address - Fax:713-773-3591
Practice Address - Street 1:6300 HILLCROFT ST
Practice Address - Street 2:SUITE 310
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3006
Practice Address - Country:US
Practice Address - Phone:713-773-4505
Practice Address - Fax:713-773-3591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty