S D Khan MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

S D KHAN MD PA

Practice address

17070 Red Oak Dr.
Suite 503
Houston, TX 77090-2715

Phone

(281) 444-2399

Fax

(281) 444-3417

NPI assigned

Mar 15, 2012

Last updated

Jul 19, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gretchen Daulton

Title

Office Admin

Phone

(281) 444-2399

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sardar Daud Khan, MD

  • Gastroenterology Physician
  • Houston, TX
  • NPI 1104826452

  Specialist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1255606885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR.",
            "address_2": "SUITE 503",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902715",
            "telephone_number": "281-444-2399",
            "fax_number": "281-444-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR.",
            "address_2": "SUITE 503",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902715",
            "telephone_number": "281-444-2399",
            "fax_number": "281-444-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S D KHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "DAULTON",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "281-444-2399"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355232501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.