Provider Demographics
NPI:1174755953
Name:KHAN, FAISAL R (MD)
Entity type:Individual
Prefix:
First Name:FAISAL
Middle Name:R
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PULMONARY CONSULTANTS OF SAN ANTONIO
Mailing Address - Street 2:10007 HUEBNER RD, BLDG 402, STE 402
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240
Mailing Address - Country:US
Mailing Address - Phone:210-692-0361
Mailing Address - Fax:210-593-4066
Practice Address - Street 1:PULMONARY CONSULTANTS OF SAN ANTONIO
Practice Address - Street 2:10007 HUEBNER RD, BLDG 402, STE 402
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240
Practice Address - Country:US
Practice Address - Phone:210-692-0361
Practice Address - Fax:210-593-4066
Is Sole Proprietor?:No
Enumeration Date:2009-08-12
Last Update Date:2022-06-16
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Provider Licenses
StateLicense IDTaxonomies
OH099166207R00000X, 208M00000X
TXQ6339207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0069368Medicaid
07403868OtherECFMG
OH0069368Medicaid