Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP133745 | TX |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP133745 | TX |
NPI | 1154851897 |
---|---|
Provider Name | Shahnaz Shahjahan Khan |
First Address | Houston, TX 77030-3411 |
Second Address | Houston, TX 77030-2604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2017 |
Last Update Date | 28/09/2021 |