| Sabiha Khan Md Pa | |
|
201 Nw 82 Avenue Plantation FL 33324-1854 | |
| (954) 236-3232 | |
| (954) 236-3236 |
| Full Name | Sabiha Khan Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 Nw 82 Avenue, Plantation, Florida |
| Authorized Official Name and Position | Sabiha Khan (OWNER/PRESIDENT) |
| Authorized Official Contact | 9542363232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sabiha Khan Md Pa 201 Nw 82 Avenue Plantation FL 33324-1854 Ph: (954) 236-3232 | Sabiha Khan Md Pa 201 Nw 82 Avenue Plantation FL 33324-1854 Ph: (954) 236-3232 |
| NPI Number | 1861741167 |
|---|---|
| Provider Enumeration Date | 08/31/2012 |
| Last Update Date | 08/31/2012 |
| Medicare PECOS PAC ID | 9335390962 |
|---|---|
| Medicare Enrollment ID | O20121108000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861741167 | NPI | - | NPPES |
| 378828800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME0068920 (Florida) | Primary |
| Provider Name | Sabiha Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861467557 PECOS PAC ID: 1052562683 Enrollment ID: I20121210000130 |
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