Individual
AHSAN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 960-5681
Mailing address
PO BOX 850661, RICHARDSON, TX 75085-0661
(972) 923-8923
(888) 339-3357
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018045-1
NY
363A00000X
Physician Assistant
Primary
PA10177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA10177
STATE LICENSE
PA
Enumeration date
10/03/2014
Last updated
09/22/2023
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