Provider Demographics
NPI:1275851925
Name:KHAN, HEENA NASEEM (DO)
Entity Type:Individual
Prefix:DR
First Name:HEENA
Middle Name:NASEEM
Last Name:KHAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12222 N CENTRAL EXPY
Mailing Address - Street 2:STE 400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3755
Mailing Address - Country:US
Mailing Address - Phone:469-218-0678
Mailing Address - Fax:469-587-6684
Practice Address - Street 1:12222 N CENTRAL EXPY
Practice Address - Street 2:STE 400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3755
Practice Address - Country:US
Practice Address - Phone:469-218-0678
Practice Address - Fax:469-587-6684
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB08659800207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology