Provider Demographics
NPI:1437211786
Name:KHAN, RASHID HASAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RASHID
Middle Name:HASAN
Last Name:KHAN
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 1:4002 GARTH RD STE 120
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3179
Mailing Address - Country:US
Mailing Address - Phone:281-422-7970
Mailing Address - Fax:
Practice Address - Street 1:4002 GARTH RD STE 120
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3179
Practice Address - Country:US
Practice Address - Phone:281-422-7970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5285207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX187996706Medicaid
TX187996701Medicaid
TX187996702Medicaid
TX187996701Medicaid
TX187996706Medicaid