Healthcare Provider Details

I. General information

NPI: 1912759242
Provider Name (Legal Business Name): SAAD KHALID KHAN M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 11/26/2024
Certification Date:
Deactivation Date: 11/11/2024
Reactivation Date: 11/26/2024

III. Provider practice location address

HCA FLORIDA NORTH FLORIDA HOSPITAL 6500 W NEWBERRY RD
GAINESVILLE FL
32605
US

IV. Provider business mailing address

HCA FLORIDA NORTH FLORIDA HOSPITAL 1147 NW 64TH TERRACE
GAINESVILLE FL
32605
US

V. Phone/Fax

Practice location:
  • Phone: 352-333-5980
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: