Provider Demographics
NPI:1982806832
Name:MCTIGHE-KHAN, SARAH LOUISE (DO)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LOUISE
Last Name:MCTIGHE-KHAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 PARK AVE
Mailing Address - Street 2:HUNTINGTON HOSPITAL INTERNAL MEDICINE
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2787
Mailing Address - Country:US
Mailing Address - Phone:443-986-3499
Mailing Address - Fax:
Practice Address - Street 1:270 PARK AVE
Practice Address - Street 2:HUNTINGTON HOSPITAL INTERNAL MEDICINE
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2787
Practice Address - Country:US
Practice Address - Phone:443-986-3499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261167207R00000X
DEC2-0009373207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine