| Mahmood R Khan Md Pa | |
|
3900 W 15th St 507 Plano TX 75075-7751 | |
| (972) 596-2911 | |
| Not Available |
| Full Name | Mahmood R Khan Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3900 W 15th St, Plano, Texas |
| Authorized Official Name and Position | Mahmood R Khan (PRESIDENT) |
| Authorized Official Contact | 9725962911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahmood R Khan Md Pa 3900 W 15th St 507 Plano TX 75075-7751 Ph: (972) 596-2911 | Mahmood R Khan Md Pa 3900 W 15th St 507 Plano TX 75075-7751 Ph: (972) 596-2911 |
| NPI Number | 1639124555 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 07/01/2008 |
| Medicare PECOS PAC ID | 8325951791 |
|---|---|
| Medicare Enrollment ID | O20031111000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639124555 | NPI | - | NPPES |
| 175344401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Texas) | Primary |
| Provider Name | Mahmood R Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891741120 PECOS PAC ID: 3577476951 Enrollment ID: I20031216000331 |
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