Organization Name: | BHAISAHIB 2 PLLC |
NPI Number: | 1285004457 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WALEED KHAN (MEDICAL DIRECTOR) |
Mailing Address: | 5101 Avenue H Suite 23 Rosenberg |
State: | TX US |
Postal Code: | 774712025 |
Phone Number: | 2817620399 |
Fax Number: | 2817622036 |
NPI Enumeration Date: | 09/30/2015 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | P3018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |