Organization
CANCER CENTER ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANULLAH KHAN M.D (PRESIDENT)
(972) 548-9690
Entity
Organization
Contact information
Practice address
4201 MEDICAL CENTER DR, # 180, MCKINNEY, TX 75069-1764
(972) 548-9690
(972) 542-7715
Mailing address
4201 MEDICAL CENTER DR, # 180, MCKINNEY, TX 75069-1764
(972) 548-9690
(972) 542-7715
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083503501
—
TX
01
—
CU0755
RAILROAD MEDICARE
TX
01
—
DA7312
RAILROAD MEDICARE
TX
Enumeration date
08/05/2006
Last updated
07/27/2012
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