Provider Demographics
NPI:1003105065
Name:DURRANI, SALIM KHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SALIM
Middle Name:KHAN
Last Name:DURRANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11777 KATY FWY STE 260
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1776
Mailing Address - Country:US
Mailing Address - Phone:713-973-7246
Mailing Address - Fax:832-553-1337
Practice Address - Street 1:11777 KATY FWY STE 260
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1776
Practice Address - Country:US
Practice Address - Phone:713-973-7246
Practice Address - Fax:832-553-1337
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266112207L00000X
TXR3834207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX355672201Medicaid