Provider Demographics
NPI:1598824658
Name:SAADAT U KHAN MD PA
Entity Type:Organization
Organization Name:SAADAT U KHAN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAADAT
Authorized Official - Middle Name:ULLAH
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-752-4302
Mailing Address - Street 1:213 HIGH ST
Mailing Address - Street 2:SAADAT U KHAN MD PROF ASSN
Mailing Address - City:BERLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03570
Mailing Address - Country:US
Mailing Address - Phone:603-752-4302
Mailing Address - Fax:603-752-1207
Practice Address - Street 1:213 HIGH ST
Practice Address - Street 2:SAADAT U KHAN MD PROF ASSN
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570
Practice Address - Country:US
Practice Address - Phone:603-752-4302
Practice Address - Fax:603-752-1207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Not Answered2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3982Medicare ID - Type Unspecified