Provider Demographics
NPI:1902013410
Name:KHAN, SAADIA (MD)
Entity Type:Individual
Prefix:
First Name:SAADIA
Middle Name:
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 1:212 BABB DR
Mailing Address - Street 2:STE. B
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-2508
Mailing Address - Country:US
Mailing Address - Phone:615-449-1459
Mailing Address - Fax:615-453-2853
Practice Address - Street 1:212 BABB DR
Practice Address - Street 2:STE. B
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-2508
Practice Address - Country:US
Practice Address - Phone:615-449-1459
Practice Address - Fax:615-453-2853
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN47287207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1524708Medicaid
TN1524708Medicaid