NPIMap

Organization Active NPI

La Khan Mdpa

  • Medical Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1285012385
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
E7139 Issued in TX
Legal business name
LA KHAN MDPA
Practice address
17070 Red Oak Dr Ste 202
Houston, TX 77090-2615
Phone
(281) 440-9500
Fax
(281) 440-9503
NPI assigned
May 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Laeeq A Khan, MD
Title
Owner
Phone
(281) 440-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X E7139 TX Primary

Addresses

Primary practice location

17070 Red Oak Dr Ste 202
Houston, TX 77090-2615

Mailing address

17070 Red Oak Dr Ste 202
Houston, TX 77090-2615
Phone (281) 440-9500

Other identifiers 4

IdentifierTypeStateIssuer
121100501MedicaidTX
121100503MedicaidTX
281366902MedicaidTX
281366903MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
La Khan MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1285012385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902615",
            "telephone_number": "281-440-9500",
            "fax_number": "281-440-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902615",
            "telephone_number": "281-440-9500",
            "fax_number": "281-440-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA KHAN MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "LAEEQ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-440-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "E7139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121100501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121100503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281366902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281366903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.