Provider Demographics
NPI:1497757512
Name:KHAN, SAYEED AHMED (MD)
Entity Type:Individual
Prefix:DR
First Name:SAYEED
Middle Name:AHMED
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 OCEANGATE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-4317
Mailing Address - Country:US
Mailing Address - Phone:562-499-6191
Mailing Address - Fax:562-499-6171
Practice Address - Street 1:540 E ARTESIA BLVD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-1476
Practice Address - Country:US
Practice Address - Phone:562-423-3383
Practice Address - Fax:562-499-6171
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA83414207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A834140Medicaid
CAWA83414CMedicare PIN
CAWA83414AMedicare PIN
CAI20955Medicare UPIN