Individual
SOPHIA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6400 FANNIN ST, SUITE 2850, HOUSTON, TX 77030-1521
(713) 486-5100
(713) 512-7200
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-6161
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
65646
MN
2086S0129X
Vascular Surgery Physician
Primary
S3005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
403462103
CSHCH
TX
05
—
403462104
—
TX
Enumeration date
01/30/2015
Last updated
12/10/2021
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