Provider Demographics
NPI:1639379571
Name:KHAN, MINHAJ MUHAMMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:MINHAJ
Middle Name:MUHAMMAD
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 660599
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75266-0599
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4811 HARRY HINES BLVD
Practice Address - Street 2:HOMES GROUP
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7700
Practice Address - Country:US
Practice Address - Phone:214-590-0153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2010-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6978207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine