Individual
DR. AMIR M KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 IRA E WOODS AVE, STE 100, GRAPEVINE, TX 76051-4012
(817) 421-0505
(817) 421-6060
Mailing address
815 IRA E WOODS AVE, STE 100, GRAPEVINE, TX 76051-4012
(817) 421-0505
(817) 421-6060
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L1090
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012LS
BC/BS
TX
01
—
1039554
HMO BLUE
—
05
—
168662801
—
TX
01
—
7152300
AETNA HMO
TX
Enumeration date
07/18/2006
Last updated
10/25/2010
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