Provider Demographics
NPI:1942289921
Name:KHAN, ROOHI MAJEED (MD)
Entity Type:Individual
Prefix:DR
First Name:ROOHI
Middle Name:MAJEED
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 RIVER POINTE DR STE 120
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2817
Mailing Address - Country:US
Mailing Address - Phone:936-756-2555
Mailing Address - Fax:936-756-2555
Practice Address - Street 1:200 RIVER POINTE DR STE 120
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2817
Practice Address - Country:US
Practice Address - Phone:936-756-2555
Practice Address - Fax:936-756-2534
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV21700207R00000X
MA219230208M00000X
TXP8262207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810002306Medicaid
WV001721081OtherMS BCBS
TX3674194Medicaid
WV7868654OtherAETNA
WV4151362Medicare PIN
WV7868654OtherAETNA
I24977Medicare UPIN