Provider Demographics
NPI:1396984068
Name:KHAN, ARSALAN Z (MD)
Entity type:Individual
Prefix:
First Name:ARSALAN
Middle Name:Z
Last Name:KHAN
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:P O BOX 2566
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1001
Mailing Address - Country:US
Mailing Address - Phone:281-491-0044
Mailing Address - Fax:281-491-1447
Practice Address - Street 1:3519 TOWN CENTER BLVD S
Practice Address - Street 2:SUITE A
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1001
Practice Address - Country:US
Practice Address - Phone:281-491-0044
Practice Address - Fax:281-491-1447
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125053617207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL3270466Medicare PIN
IL6447860006Medicare NSC