Provider Demographics
NPI:1720391279
Name:KHAN, MUHAMMAD AWAIS (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:AWAIS
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5410 HILLINGDON DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-4071
Mailing Address - Country:US
Mailing Address - Phone:888-806-1928
Mailing Address - Fax:520-694-0235
Practice Address - Street 1:5410 HILLINGDON DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-4071
Practice Address - Country:US
Practice Address - Phone:888-806-1928
Practice Address - Fax:520-694-0235
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU57322084N0400X
TN537892084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology