Basic Information
| Provider Information | |||||||||
| NPI: | 1992325443 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALI KHAN MD PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8101 CANTERBURY TER | ||||||||
| Address2: | |||||||||
| City: | MCKINNEY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750726944 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9728973901 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2026 W UNIVERSITY DR | ||||||||
| Address2: | |||||||||
| City: | DENTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 762010644 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9403208100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/24/2020 | ||||||||
| LastUpdateDate: | 07/11/2020 | ||||||||
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| AuthorizedOfficialLastName: | KHAN | ||||||||
| AuthorizedOfficialFirstName: | ALI | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9728973901 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 07/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.