Provider Demographics
NPI:1891060125
Name:KHALID KAYNAI M.D OB/ GYN
Entity Type:Organization
Organization Name:KHALID KAYNAI M.D OB/ GYN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-898-0922
Mailing Address - Street 1:3560 DELAWARE ST. SUITE 1203
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-3067
Mailing Address - Country:US
Mailing Address - Phone:409-898-0922
Mailing Address - Fax:409-898-1718
Practice Address - Street 1:3560 DELAWARE ST
Practice Address - Street 2:SUITE 1203
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-3067
Practice Address - Country:US
Practice Address - Phone:409-898-0922
Practice Address - Fax:409-898-1718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2407207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTD481OtherMEDICARE ID- TYPE UNSPECIFIED
TXB23867Medicare PIN