Dr Mir Mujtaba Ali Khan, DO | |
179 Interstate 45 S, Suite 300, Huntsville, TX 77340-4223 | |
(936) 294-0152 | |
(936) 294-9600 |
Full Name | Dr Mir Mujtaba Ali Khan |
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Gender | Male |
Speciality | Internal Medicine |
Location | 179 Interstate 45 S, Huntsville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831290923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | M3450 (Texas) | Primary |
Entity Name | Christus Trinity Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Entity Name | Hospital Docs Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871792309 PECOS PAC ID: 7517052822 Enrollment ID: O20071002000420 |
Mailing Address | Practice Location Address |
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Dr Mir Mujtaba Ali Khan, DO 179 Interstate 45 S, Suite 300, Huntsville, TX 77340-4223 Ph: (936) 294-0152 | Dr Mir Mujtaba Ali Khan, DO 179 Interstate 45 S, Suite 300, Huntsville, TX 77340-4223 Ph: (936) 294-0152 |
Mr. John S Hines, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Medical Center Parkway, Ste 2, Huntsville, TX 77340 Phone: 936-291-8205 Fax: 936-291-3862 | |
Nabeel A Khan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Medical Center Pkwy, Suite 1, Huntsville, TX 77340 Phone: 936-291-8205 Fax: 936-291-3862 | |
Karin Elisa Olson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Methodist Retirement Communities Creekside, 1433 Veteran's Memorial Parkway, Huntsville, TX 77340 Phone: 936-439-4700 | |
Shao-jen Chang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Medical Park Ln Ste A, Huntsville, TX 77340 Phone: 936-291-2116 Fax: 936-435-7824 | |
David R Ficklen, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Medical Park Ln Ste A, Huntsville, TX 77340 Phone: 936-435-0014 Fax: 936-435-9108 | |
Lawrence W Small, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 521 Interstate 45 South, Ste 12, Huntsville, TX 77340 Phone: 936-291-0900 Fax: 936-291-0955 | |
Ali Akbar Bhuriwala, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1508 11th St, Huntsville, TX 77340 Phone: 936-436-1786 |