Provider Demographics
NPI:1700801677
Name:KHOKHAR, AMJAD P (MD)
Entity Type:Individual
Prefix:DR
First Name:AMJAD
Middle Name:P
Last Name:KHOKHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 HIGHWAY 6
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5103
Mailing Address - Country:US
Mailing Address - Phone:281-240-0478
Mailing Address - Fax:281-240-0479
Practice Address - Street 1:736 STATE HIGHWAY 6
Practice Address - Street 2:SUITE 101
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5103
Practice Address - Country:US
Practice Address - Phone:281-240-0478
Practice Address - Fax:281-240-0479
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3360207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0071MDOtherBCBS GROUP NUMBER
TX164999802Medicaid
TX171203601Medicaid
TX8R6670OtherBCBS
TX6445890001Medicare NSC
TX171203601Medicaid
TXI04595Medicare UPIN
TX164999802Medicaid