Individual
JALIL AZIZ KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
502 NORTH VALLEY PARKWAY, 1, LEWISVILLE, TX 75067-3437
(972) 353-8616
(972) 353-5352
Mailing address
502 NORTH VALLEY PARKWAY, 1, LEWISVILLE, TX 75067-3437
(972) 353-8616
(972) 353-5352
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J9128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1274664-06
—
TX
01
—
752825508
TAX ID
—
01
—
88280X
BCBS INDIVIDUAL #
—
Enumeration date
10/03/2006
Last updated
03/07/2023
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