Provider Demographics
NPI:1386879013
Name:KHAN, DURRESHAHWAR KHURSHEED (MD)
Entity type:Individual
Prefix:
First Name:DURRESHAHWAR
Middle Name:KHURSHEED
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 AVERY WOODS LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7673
Mailing Address - Country:US
Mailing Address - Phone:404-759-7444
Mailing Address - Fax:
Practice Address - Street 1:4515 SETON CENTER PKWY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5290
Practice Address - Country:US
Practice Address - Phone:512-338-8388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ8922207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine