MEDICARE: DR. SAAD M KHAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	ME90434	FL
2	207RI0008X	Hepatology Physician	ME90434	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083663819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAAD M KHAN MD

Provider Business Mailing Address
First Line	:	2541 S VOLUSIA AVE STE 300
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-9116
Country	:	US
Telephone Number	:	386-218-6893
Fax Number	:	386-218-6895

Provider Business Practice Location Address
First Line	:	2541 S VOLUSIA AVE STE 300
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-9116
Country	:	US
Telephone Number	:	386-218-6893
Fax Number	:	386-218-6895

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	05/17/2012

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