Provider Demographics
NPI:1710025556
Name:KHAN, MUHAMMAD F (MD)
Entity Type:Individual
Prefix:MR
First Name:MUHAMMAD
Middle Name:F
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 1:11914 ASTORIA BLVD
Mailing Address - Street 2:STE #185
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6064
Mailing Address - Country:US
Mailing Address - Phone:281-922-7377
Mailing Address - Fax:281-922-7979
Practice Address - Street 1:11914 ASTORIA BLVD
Practice Address - Street 2:STE #185
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6064
Practice Address - Country:US
Practice Address - Phone:281-922-7377
Practice Address - Fax:281-922-7979
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-113227207R00000X
TXN2144207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX304829001Medicaid
IL36-113227OtherLICENSED PHYSICIAN AND SURGEON
TXTXB159178Medicare PIN
TX272622Medicare PIN