Healthcare Provider Details

I. General information

NPI: 1528704798
Provider Name (Legal Business Name): SAAD KHAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SIVLEY RD SW
HUNTSVILLE AL
35801-4470
US

IV. Provider business mailing address

101 SIVLEY RD SW
HUNTSVILLE AL
35801-4421
US

V. Phone/Fax

Practice location:
  • Phone: 256-265-1000
  • Fax: 256-265-4987
Mailing address:
  • Phone: 256-265-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD.51673
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD.51673
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: