Provider Demographics
NPI:1982204343
Name:KHAN-BANGASH, NAHEED (RPH)
Entity Type:Individual
Prefix:
First Name:NAHEED
Middle Name:
Last Name:KHAN-BANGASH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4933
Mailing Address - Country:US
Mailing Address - Phone:281-340-0909
Mailing Address - Fax:281-340-0916
Practice Address - Street 1:345 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4933
Practice Address - Country:US
Practice Address - Phone:281-340-0909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37323183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist