Provider Demographics
NPI:1083861249
Name:KHAN, ADNAN AHMED (MD)
Entity Type:Individual
Prefix:
First Name:ADNAN
Middle Name:AHMED
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 674029
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-4029
Mailing Address - Country:US
Mailing Address - Phone:512-400-4195
Mailing Address - Fax:512-287-5563
Practice Address - Street 1:1900 SCENIC DR STE 1108
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7724
Practice Address - Country:US
Practice Address - Phone:512-400-4195
Practice Address - Fax:512-287-5563
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM9404207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine