MEDICARE: DR. SAYEED AHMED KHAN M.D.

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	A83414	CA

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	:	1497757512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAYEED AHMED KHAN M.D.

Provider Business Mailing Address
First Line	:	200 OCEANGATE
Second Line	:	SUITE 100
City	:	LONG BEACH
State	:	CA
Zip	:	90802-4317
Country	:	US
Telephone Number	:	562-499-6191
Fax Number	:	562-499-6171

Provider Business Practice Location Address
First Line	:	540 E ARTESIA BLVD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90805-1476
Country	:	US
Telephone Number	:	562-423-3383
Fax Number	:	562-499-6171

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	05/15/2015

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