Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | L7449 | TX |
N | 111NI0900X | Internist | L7449 | TX |
Y | 207RN0300X | Nephrologist | L7449 | TX |
NPI | 1073557468 |
---|---|
Provider Name | Asadullah Khan |
First Address | Houston, TX 77030-2717 |
Second Address | Houston, TX 77030-2717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 01/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
163131905 | (05) | TX |
H95565 | (02) |