MEDICARE: SAKHANMD LC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1205383734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAKHANMD LC

Provider Business Mailing Address
First Line	:	2257 HWY 441 NORTH
Second Line	:	SUITE A
City	:	OKEECHOBEE
State	:	FL
Zip	:	34972-1943
Country	:	US
Telephone Number	:	863-467-4788
Fax Number	:	863-467-9092

Provider Business Practice Location Address
First Line	:	2257 HWY 441 NORTH
Second Line	:	SUITE A
City	:	OKEECHOBEE
State	:	FL
Zip	:	34972-1943
Country	:	US
Telephone Number	:	863-467-4788
Fax Number	:	863-467-9092

Authorized Official
Title or Position	:	OWNER
Name	:	SAEED A KHAN
Credential	:	M.D.
Telephone Number	:	863-467-4788

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	07/13/2017

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