Individual
DR. JARI ULLAH KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 CENTRAL EXPY N STE 235, ALLEN, TX 75013-6135
(972) 747-6042
(972) 747-6043
Mailing address
1105 CENTRAL EXPY N STE 235, ALLEN, TX 75013-6135
(972) 747-6042
(972) 747-6043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA12217700
NJ
207R00000X
Internal Medicine Physician
Primary
L9279
TX
208M00000X
Hospitalist Physician
L9279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167655302
—
TX
05
—
167655305
—
SD
05
—
167655306
—
TX
01
—
8P6742
BCBS
TX
01
—
P00267178
RR MEDICARE
TX
Enumeration date
05/25/2006
Last updated
06/06/2025
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