Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | M6227 | TX |
NPI | 1003963828 |
---|---|
Provider Name | Muhammad Amar Khan |
First Address | Edinburg, TX 78539-9902 |
Second Address | Edinburg, TX 78539-9902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 17/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
205119501 | (05) | TX |