Individual
DR. AISHA IMTIAZ KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 ENTERPRISE AVE STE 900, LEAGUE CITY, TX 77573-3087
(713) 442-2826
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-4997
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R0736
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370641801
—
TX
Enumeration date
05/13/2013
Last updated
06/23/2022
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