Provider Demographics
NPI:1144218066
Name:KHAN, NABEEL A (MD)
Entity Type:Individual
Prefix:
First Name:NABEEL
Middle Name:A
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 1:130 MEDICAL CENTER PKWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-4942
Mailing Address - Country:US
Mailing Address - Phone:936-291-8205
Mailing Address - Fax:936-291-3862
Practice Address - Street 1:130 MEDICAL CENTER PKWY
Practice Address - Street 2:SUITE 1
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-4942
Practice Address - Country:US
Practice Address - Phone:936-291-8205
Practice Address - Fax:936-291-3862
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL4019207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H46644Medicare UPIN