Provider Demographics
NPI:1023040292
Name:KHAN, SADIA REHMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SADIA
Middle Name:REHMAN
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 ST. PAUL PLACE
Mailing Address - Street 2:MEDICAL STAFF OFFICE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2102
Mailing Address - Country:US
Mailing Address - Phone:410-659-2802
Mailing Address - Fax:
Practice Address - Street 1:301 ST. PAUL PLACE
Practice Address - Street 2:RHEUMATOLOGY OFFICE - POB # 411
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2102
Practice Address - Country:US
Practice Address - Phone:410-332-9346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD419414207R00000X, 207RR0500X
MDD83551207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2124945OtherMAMSI-WMG
MD628514OtherCAREFIRST MD BCBS
PA153462OtherUNISON-WMG
PA7275919OtherAETNA
PA106835OtherJOHNS HOPKINS
PA1537981OtherGATEWAY-WMG
PA50065257OtherCAPITAL BLUE CROSS-WMG
PA100891440Medicaid
PA20033201OtherAMERIHEALTH MERCY-WMG
PA89154OtherGEISINGER
PA1593041OtherHIGHMARK BLUE SHIELD
PA153462OtherUNISON-WMG
PA1537981OtherGATEWAY-WMG
PA50065257OtherCAPITAL BLUE CROSS-WMG