Provider Demographics
NPI:1992996839
Name:KHAN, NASEER NAWAZ (MD)
Entity type:Individual
Prefix:
First Name:NASEER
Middle Name:NAWAZ
Last Name:KHAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 LAKE ESTATES CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-5600
Mailing Address - Country:US
Mailing Address - Phone:832-520-5760
Mailing Address - Fax:979-230-4863
Practice Address - Street 1:5819 HIGHWAY 6 STE 240
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4070
Practice Address - Country:US
Practice Address - Phone:281-969-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0482207Q00000X
KY41228208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
LACDS.037387-MDOtherCDS LICENSE
LA1076309Medicaid
KYFK0439869OtherDEA