Provider Demographics
NPI:1720305543
Name:BAYLOR COLLEGE OF MEDICINE
Entity Type:Organization
Organization Name:BAYLOR COLLEGE OF MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KASHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-772-1442
Mailing Address - Street 1:1800 EL PASEO ST
Mailing Address - Street 2:APT NO 113
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3053
Mailing Address - Country:US
Mailing Address - Phone:281-772-1442
Mailing Address - Fax:
Practice Address - Street 1:1800 EL PASEO ST
Practice Address - Street 2:APT NO 113
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-3053
Practice Address - Country:US
Practice Address - Phone:281-772-1442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty