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Individual

RUBINA A KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
950 W MAGNOLIA AVE, FORT WORTH, TX 76104
(817) 336-5060
(817) 336-1744
Mailing address
950 W MAGNOLIA AVE, FORT WORTH, TX 76104
(817) 336-5060
(817) 336-1744

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
H1120
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10010163
AMERIGROUP
05
128133901
TX
01
390002999
MEDICARE RAILROAD
01
4322999
AETNA
01
834770
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/17/2006
Last updated
05/19/2011
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