Sanaulla Khan, MD | |
701 Cashua Ferry Rd, Darlington, SC 29532-8488 | |
(843) 777-4217 | |
(843) 777-4296 |
Full Name | Sanaulla Khan |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 701 Cashua Ferry Rd, Darlington, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255304705 | NPI | - | NPPES |
273304 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 27330 (South Carolina) | Primary |
Entity Name | Mcleod Regional Medical Center Of The Pee Dee, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154371433 PECOS PAC ID: 7416851852 Enrollment ID: O20031126000251 |
Entity Name | Mcleod Physician Associates Ii |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
Entity Name | Piedmont Physician Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194277186 PECOS PAC ID: 7911287552 Enrollment ID: O20161216001613 |
Mailing Address | Practice Location Address |
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Sanaulla Khan, MD Po Box 3239, Florence, SC 29502-3239 Ph: (843) 777-4217 | Sanaulla Khan, MD 701 Cashua Ferry Rd, Darlington, SC 29532-8488 Ph: (843) 777-4217 |
Maria Cecilia Farina-morin, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 701 Cashua Ferry Rd, Darlington, SC 29532 Phone: 843-777-4217 Fax: 843-777-4296 |