Provider Demographics
NPI:1912251133
Name:SABA KHAN M.D, P.A
Entity Type:Organization
Organization Name:SABA KHAN M.D, P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:
Authorized Official - First Name:SABA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-999-4694
Mailing Address - Street 1:800 BONAVENTURE WAY STE 143
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-8006
Mailing Address - Country:US
Mailing Address - Phone:832-999-4694
Mailing Address - Fax:832-999-4467
Practice Address - Street 1:800 BONAVENTURE WAY STE 143
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-8006
Practice Address - Country:US
Practice Address - Phone:832-999-4694
Practice Address - Fax:832-999-4467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5287261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty