Provider Demographics
NPI:1477996775
Name:KHAN, ASMA (MD)
Entity Type:Individual
Prefix:
First Name:ASMA
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12430 OXFORD PARK DR
Mailing Address - Street 2:APT 7310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2563
Mailing Address - Country:US
Mailing Address - Phone:832-955-5177
Mailing Address - Fax:
Practice Address - Street 1:12430 OXFORD PARK DR
Practice Address - Street 2:APT 7310
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2563
Practice Address - Country:US
Practice Address - Phone:832-955-5177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
LA303663207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program