Individual
MOHAMMAD SHAHBAZ KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 WALLS DR STE 104, CLEBURNE, TX 76033-7022
(817) 556-5570
Mailing address
203 WALLS DR STE 104, CLEBURNE, TX 76033-7022
(817) 556-5570
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
Q1641
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241533
LICENSE NUMBER
NY
Enumeration date
08/29/2006
Last updated
10/11/2021
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