Provider Demographics
NPI:1699039719
Name:MASOOD, KHALID (RSA)
Entity Type:Individual
Prefix:
First Name:KHALID
Middle Name:
Last Name:MASOOD
Suffix:
Gender:M
Credentials:RSA
Other - Prefix:
Other - First Name:KHALID
Other - Middle Name:
Other - Last Name:MASOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SURGICAL ASSISTANT
Mailing Address - Street 1:7324 SW FREEWAY, SUITE 1550
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2053
Mailing Address - Country:US
Mailing Address - Phone:713-779-9800
Mailing Address - Fax:713-779-9813
Practice Address - Street 1:7324 SW FREEWAY, SUITE 1550
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2053
Practice Address - Country:US
Practice Address - Phone:815-582-3477
Practice Address - Fax:713-779-9813
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL238.000319246ZS0410X, 246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist