Provider Demographics
NPI:1437166121
Name:KHAN, AMINA TASKEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:AMINA
Middle Name:TASKEAN
Last Name:KHAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 261413
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-1413
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2067 N CENTRAL EXPY STE 104
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2760
Practice Address - Country:US
Practice Address - Phone:469-323-4970
Practice Address - Fax:972-994-0707
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9750111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8V9690OtherBLUE CROSS BLUE SHIELD
TX8F4887Medicare PIN
TXV03482Medicare UPIN