Provider Demographics
NPI:1811971914
Name:KHAN, WAQAR A (MD)
Entity type:Individual
Prefix:DR
First Name:WAQAR
Middle Name:A
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:400 HOLDERRIETH BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4552
Mailing Address - Country:US
Mailing Address - Phone:281-255-2000
Mailing Address - Fax:281-378-5918
Practice Address - Street 1:400 HOLDERRIETH BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375
Practice Address - Country:US
Practice Address - Phone:281-766-8800
Practice Address - Fax:281-378-5918
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ2126207RC0000X, 207RC0000X, 207UN0901X, 207RC0000X
FL103790207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F42627Medicare UPIN
TXF42627Medicare UPIN
TX8459K0Medicare PIN
FL8459K0Medicare PIN