Healthcare Provider Details

I. General information

NPI: 1760271159
Provider Name (Legal Business Name): RANA S KHAN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8118 TIMBERLAKE WAY STE 210
SACRAMENTO CA
95823-5400
US

IV. Provider business mailing address

8118 TIMBERLAKE WAY STE 210
SACRAMENTO CA
95823-5400
US

V. Phone/Fax

Practice location:
  • Phone: 217-775-4022
  • Fax: 916-823-3896
Mailing address:
  • Phone: 916-525-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RANA SARFRAZ AHMED KHAN
Title or Position: DR
Credential: MD
Phone: 217-775-4023