Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | BP1-0034630 | TX |
Y | 2080N0001X | Neonatal-Perinatal Doctor | P3640 | TX |
NPI | 1144464173 |
---|---|
Provider Name | Dr. Owais Ahmed Khan |
First Address | Houston, TX 77054-1920 |
Second Address | Houston, TX 77054-1920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2009 |
Last Update Date | 09/08/2015 |