Provider Demographics
NPI:1407343742
Name:KHAN, HUMA SARWAR (MD)
Entity Type:Individual
Prefix:
First Name:HUMA
Middle Name:SARWAR
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 1:308 FOUNTAIN VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:ALCOA
Mailing Address - State:TN
Mailing Address - Zip Code:37701-1945
Mailing Address - Country:US
Mailing Address - Phone:865-672-5290
Mailing Address - Fax:865-379-6218
Practice Address - Street 1:308 FOUNTAIN VIEW CIR
Practice Address - Street 2:
Practice Address - City:ALCOA
Practice Address - State:TN
Practice Address - Zip Code:37701-1945
Practice Address - Country:US
Practice Address - Phone:865-672-5290
Practice Address - Fax:865-379-6218
Is Sole Proprietor?:No
Enumeration Date:2018-04-20
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN64285207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine