Provider Demographics
NPI:1497773121
Name:KHANANI, NAZEER (MD)
Entity Type:Individual
Prefix:
First Name:NAZEER
Middle Name:
Last Name:KHANANI
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:PO BOX 650426
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-0426
Mailing Address - Country:US
Mailing Address - Phone:972-715-5007
Mailing Address - Fax:972-715-5682
Practice Address - Street 1:1313 HERMANN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7005
Practice Address - Country:US
Practice Address - Phone:713-527-5270
Practice Address - Fax:713-527-5689
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3612207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8S7603OtherBCBS
TX181702501Medicaid
TX02496089OtherTEXAS DRIVERS LICENSE
TX60146408OtherDPS CERTIFICATE
TXP00385858OtherRAILROAD
TX02496089OtherTEXAS DRIVERS LICENSE
TXTXB121057Medicare PIN