Provider Demographics
NPI:1255369567
Name:KHALID, ADNAN (MD)
Entity type:Individual
Prefix:DR
First Name:ADNAN
Middle Name:
Last Name:KHALID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18019 CARLUKE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3440
Mailing Address - Country:US
Mailing Address - Phone:713-258-6111
Mailing Address - Fax:346-387-6084
Practice Address - Street 1:410 W GRAND PKWY S STE 4D
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8361
Practice Address - Country:US
Practice Address - Phone:713-258-6111
Practice Address - Fax:346-387-6084
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0658207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1255369567Medicaid
TX341604202Medicaid
TX341604203Medicaid
TX341604203Medicaid
TX371187YKY6Medicare PIN
TX341604202Medicaid