Provider Demographics
NPI:1366462590
Name:KHAN, SAEED A (MD, MBA, FACP)
Entity Type:Individual
Prefix:DR
First Name:SAEED
Middle Name:A
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD, MBA, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2257 HWY 441 NORTH
Mailing Address - Street 2:SUITE A
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972-1943
Mailing Address - Country:US
Mailing Address - Phone:863-467-4788
Mailing Address - Fax:863-467-9092
Practice Address - Street 1:2257 HWY 441 NORTH
Practice Address - Street 2:SUITE A
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972-1943
Practice Address - Country:US
Practice Address - Phone:863-467-4788
Practice Address - Fax:863-467-9092
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107025OtherHUMANA PROVIDER ID
FL4028710OtherAETNA PROVIDER ID
FL1153727OtherBEECH STREET PROVIDER ID
FL46209OtherBCBSFL PROVIDER ID
FL110190571OtherRAILROAD MEDICARE PROV ID
FL4028710OtherAETNA PROVIDER ID
FL46209OtherBCBSFL PROVIDER ID