Provider Demographics
NPI:1720676018
Name:KHAN, MAHBUB ROBIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MAHBUB
Middle Name:ROBIN
Last Name:KHAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 W SAM HOUSTON PKWY N STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-4016
Mailing Address - Country:US
Mailing Address - Phone:832-612-3500
Mailing Address - Fax:866-612-3437
Practice Address - Street 1:1311 W SAM HOUSTON PKWY N STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-4016
Practice Address - Country:US
Practice Address - Phone:832-612-3500
Practice Address - Fax:866-612-3437
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX459901835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist