Provider Demographics
NPI:1548207053
Name:KHAN, MUHAMMAD SHER (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:SHER
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:PO BOX 9336
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78469-9336
Mailing Address - Country:US
Mailing Address - Phone:361-694-5086
Mailing Address - Fax:361-855-9518
Practice Address - Street 1:6410 FANNIN ST STE 425
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3005
Practice Address - Country:US
Practice Address - Phone:361-500-6752
Practice Address - Fax:713-500-5751
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL16312080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX120117OtherSUPERIOR HEALTH PLAN
TX046776303Medicaid
TX046776303OtherCSHCN
TX8H9852OtherBCBSTX
TX046776303OtherCSHCN
TX8H9852OtherBCBSTX