Provider Demographics
NPI:1942634001
Name:SAADIA KHAN WHATLEY, DPM L.L.C.
Entity Type:Organization
Organization Name:SAADIA KHAN WHATLEY, DPM L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAADIA
Authorized Official - Middle Name:KHAN
Authorized Official - Last Name:WHATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:256-497-0032
Mailing Address - Street 1:910 SPINDLE ST APT 402
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-3336
Mailing Address - Country:US
Mailing Address - Phone:256-497-0032
Mailing Address - Fax:
Practice Address - Street 1:2 OFFICE PARK CT STE 103
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-5948
Practice Address - Country:US
Practice Address - Phone:256-497-0032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC629213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty