Provider Demographics
NPI:1710273685
Name:KHALID, FATIMA RIZWAN (MD)
Entity Type:Individual
Prefix:DR
First Name:FATIMA
Middle Name:RIZWAN
Last Name:KHALID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1505 LBJ FWY STE 700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-6065
Mailing Address - Country:US
Mailing Address - Phone:214-358-2300
Mailing Address - Fax:214-366-6159
Practice Address - Street 1:411 N WASHINGTON AVE STE 6000
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1789
Practice Address - Country:US
Practice Address - Phone:214-358-2300
Practice Address - Fax:214-579-6988
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR8924207RN0300X, 207RN0300X, 207RN0300X
MO2016035218207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXR8924OtherTEXAS LICENSE