Provider Demographics
NPI:1821126525
Name:KHAN, SAUD IQBAL (MD)
Entity Type:Individual
Prefix:
First Name:SAUD
Middle Name:IQBAL
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2001 N JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-2338
Mailing Address - Country:US
Mailing Address - Phone:903-577-6000
Mailing Address - Fax:903-577-6027
Practice Address - Street 1:2001 N JEFFERSON AVE STE 202A
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-2309
Practice Address - Country:US
Practice Address - Phone:903-434-8073
Practice Address - Fax:903-434-8076
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2407722084N0400X
TXN01642084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology