Individual
DR. ABDUL JABBAR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6560 FANNIN ST STE 1824, HOUSTON, TX 77030-2735
(713) 790-9080
(713) 790-0766
Mailing address
6560 FANNIN ST STE 1824, HOUSTON, TX 77030-2735
(713) 790-9080
(713) 790-0766
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
K6626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104986801
—
TX
01
—
110208494
MEDICARE RAILROAD
TX
01
—
8637K5
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/11/2005
Last updated
04/11/2025
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