Individual
ASIF ZIA KHATTAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2096
(214) 820-7604
Mailing address
4200 LINHURST CT, RICHARDSON, TX 75082-3757
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
L6464
TX
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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