Provider Demographics
NPI:1598045791
Name:KHAN, IMRAN M (MD)
Entity Type:Individual
Prefix:
First Name:IMRAN
Middle Name:M
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:255 ED ENGLISH DR STE A
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77385-8004
Mailing Address - Country:US
Mailing Address - Phone:281-475-7845
Mailing Address - Fax:281-817-0478
Practice Address - Street 1:255 ED ENGLISH DR STE A
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77385-8004
Practice Address - Country:US
Practice Address - Phone:281-475-7845
Practice Address - Fax:281-817-0478
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-19
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ5838207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine