Individual
DR. AJAZ OMER KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 INTERSTATE 30 STE 270, MESQUITE, TX 75150-2601
(972) 288-9747
(972) 288-2610
Mailing address
405 HOOD CT, COPPELL, TX 75019-2758
(972) 510-7539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M0129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177146101
—
TX
Enumeration date
06/01/2006
Last updated
07/29/2025
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