Healthcare Provider Details

I. General information

NPI: 1831039205
Provider Name (Legal Business Name): SAHAR KHAN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3993 LAWRENCEVILLE HWY NW STE 140A
LILBURN GA
30047-2897
US

IV. Provider business mailing address

3993 LAWRENCEVILLE HWY NW STE 140A
LILBURN GA
30047-2897
US

V. Phone/Fax

Practice location:
  • Phone: 404-333-8204
  • Fax: 404-595-1404
Mailing address:
  • Phone: 404-333-8204
  • Fax: 404-595-1404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: