Provider Demographics
NPI:1922270487
Name:KHAN, MUHAMMAD AYUB
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:AYUB
Last Name:KHAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 ALMA DR STE 105
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-3483
Mailing Address - Country:US
Mailing Address - Phone:214-714-7010
Mailing Address - Fax:214-291-5210
Practice Address - Street 1:7801 ALMA DR STE 105
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-3483
Practice Address - Country:US
Practice Address - Phone:214-714-7010
Practice Address - Fax:214-291-5210
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS491217246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist