Individual ProviderSamra KhanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address6201 Dallas Pkwy Ste 210, Plano, TX 75024-3529(972) 640-1787PECOS EnrollmentBased on the most recent information from CMS, provider Samra Khan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1326285552Provider TypeIndividualFull NameKhan, SamraCredentialM.DGenderFemaleSole ProprietorYesEnumeration Date1/9/2009Last Updated6/9/2023Contact InformationPractice LocationPractice Address6201 Dallas Pkwy Ste 210, Plano, TX 75024-3529Phone(972) 640-1787FaxUnlisted FaxMailing LocationMailing Address6201 Dallas Pkwy Ste 210, Plano, TX 75024-3529Phone(972) 640-1787FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense1415TexasCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense145516California