Provider Demographics
NPI:1952671521
Name:L.A. KHAN, M.D., P.A.
Entity Type:Organization
Organization Name:L.A. KHAN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR AND PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAEEQ
Authorized Official - Middle Name:AHMAD
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-440-9500
Mailing Address - Street 1:17202 RED OAK DR.
Mailing Address - Street 2:SUITE 303
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2639
Mailing Address - Country:US
Mailing Address - Phone:281-440-9500
Mailing Address - Fax:281-440-3715
Practice Address - Street 1:17202 RED OAK DR.
Practice Address - Street 2:SUITE 303
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2639
Practice Address - Country:US
Practice Address - Phone:281-440-9500
Practice Address - Fax:281-440-3715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE7139208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty