Provider Demographics
NPI:1588672422
Name:KHAN, ZOHRA RASHID (MD)
Entity Type:Individual
Prefix:
First Name:ZOHRA
Middle Name:RASHID
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 1:2275 WESTPARK CT
Mailing Address - Street 2:#102
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040
Mailing Address - Country:US
Mailing Address - Phone:817-545-2771
Mailing Address - Fax:817-545-2772
Practice Address - Street 1:2275 WESTPARK CT
Practice Address - Street 2:#102
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040
Practice Address - Country:US
Practice Address - Phone:817-545-2771
Practice Address - Fax:817-545-2772
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH00742084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX114421402Medicaid
TX114421402Medicaid
TX8F10062Medicare PIN