MEDICARE: SABRINA KHAN

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	1223G0001X	General Practice Dentistry	DS041976	PA

General Provider Information

NPI Number	:	1457836181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA KHAN

Provider Business Mailing Address
First Line	:	11 S MILL ST STE 200
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-3680
Country	:	US
Telephone Number	:	724-698-2500
Fax Number	:	844-399-0385

Provider Business Practice Location Address
First Line	:	1302 FREEDOM RD
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5016
Country	:	US
Telephone Number	:	724-772-2788
Fax Number	:	724-772-0858

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

Provider Enumeration Date	:	09/28/2018
Last Update Date	:	09/28/2018

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Directions to “ SABRINA KHAN ” Practice Location

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