Provider Demographics
NPI:1437501152
Name:JASMINE R KHAN M D P A
Entity Type:Organization
Organization Name:JASMINE R KHAN M D P A
Other - Org Name:THE WOODLANDS HEART AND VASCULAR CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:R
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-606-5355
Mailing Address - Street 1:128 VISION PARK BLVD
Mailing Address - Street 2:SUITE 145
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3017
Mailing Address - Country:US
Mailing Address - Phone:281-606-5355
Mailing Address - Fax:844-684-4234
Practice Address - Street 1:128 VISION PARK BLVD
Practice Address - Street 2:SUITE 145
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-3017
Practice Address - Country:US
Practice Address - Phone:281-606-5355
Practice Address - Fax:844-684-4234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty