Provider Demographics
NPI:1811136039
Name:KHAN, FAISAL NAZIR AHMED (MBBS)
Entity type:Individual
Prefix:DR
First Name:FAISAL
Middle Name:NAZIR AHMED
Last Name:KHAN
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:302 S HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78102-5333
Mailing Address - Country:US
Mailing Address - Phone:361-358-9912
Mailing Address - Fax:361-358-7640
Practice Address - Street 1:302 S HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-5333
Practice Address - Country:US
Practice Address - Phone:361-358-9912
Practice Address - Fax:361-358-7640
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2143207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology