Provider Demographics
NPI:1225310394
Name:KHAN, ASAD HASSAN (DO)
Entity Type:Individual
Prefix:DR
First Name:ASAD
Middle Name:HASSAN
Last Name:KHAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:399 MEIROSE DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080
Mailing Address - Country:US
Mailing Address - Phone:972-788-0350
Mailing Address - Fax:972-788-0407
Practice Address - Street 1:399 MEIROSE DR
Practice Address - Street 2:SUITE C
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080
Practice Address - Country:US
Practice Address - Phone:972-788-0350
Practice Address - Fax:972-788-0407
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4584207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0302899Medicaid