Individual
MARRYAM SIDDIQUA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6431 FANNIN ST, SUITE 3.242, HOUSTON, TX 77030-1501
(713) 500-5727
Mailing address
12422 UPLAND RAPIDS DR, HOUSTON, TX 77089-2640
(832) 661-9094
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP10021661
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
BP20032719
TX
Other
Enumeration date
09/27/2007
Last updated
02/16/2010
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