Basic Information
Provider Information
NPI: 1982108775
EntityType: 2
ReplacementNPI:  
OrganizationName: ZAINAB KHAN, PLLC
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Mailing Information
Address1: 2123 MACARTHUR ST
Address2:  
City: HOUSTON
State: TX
PostalCode: 770302103
CountryCode: US
TelephoneNumber: 7132774475
FaxNumber: 7137017295
Practice Location
Address1: 2121 BUSINESS CENTER DR
Address2:  
City: PEARLAND
State: TX
PostalCode: 775842153
CountryCode: US
TelephoneNumber: 7132774475
FaxNumber: 7137017295
Other Information
ProviderEnumerationDate: 03/19/2018
LastUpdateDate: 03/19/2018
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: KHAN
AuthorizedOfficialFirstName: ZAINAB
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AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 7132774475
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208100000X TXY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


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