Individual
IBRAHIM KHANSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3305 NORTHLAND DR STE 210, AUSTIN, TX 78731-4988
(512) 615-6566
(281) 962-8002
Mailing address
3305 NORTHLAND DR STE 210, AUSTIN, TX 78731-4988
(512) 615-6566
(281) 962-8002
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
35-133804
OH
2086S0122X
Plastic and Reconstructive Surgery Physician
35-133804
OH
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
U6996
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282941
—
OH
01
—
H654340
CGS - MEDICARE
OH
Enumeration date
07/10/2011
Last updated
04/03/2026
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