Provider Demographics
NPI:1013933126
Name:KHANUM, AIDA ZARINA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:AIDA
Middle Name:ZARINA
Last Name:KHANUM
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4818 PALMETTO ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3414
Mailing Address - Country:US
Mailing Address - Phone:713-669-1512
Mailing Address - Fax:
Practice Address - Street 1:5410 BELLAIRE BLVD STE D
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3964
Practice Address - Country:US
Practice Address - Phone:713-669-1900
Practice Address - Fax:713-669-1988
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9282208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics