Provider Demographics
NPI:1750550059
Name:KHAN, NAUREEN (MD)
Entity type:Individual
Prefix:
First Name:NAUREEN
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2833 BABCOCK RD STE 302
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4896
Mailing Address - Country:US
Mailing Address - Phone:210-450-9890
Mailing Address - Fax:210-450-4985
Practice Address - Street 1:2833 BABCOCK RD STE 302
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4896
Practice Address - Country:US
Practice Address - Phone:210-450-9890
Practice Address - Fax:210-450-4985
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT2653207RH0002X, 207R00000X
CAC133926207RH0002X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX431595402OtherCSHCN
TX431595401Medicaid