Healthcare Provider Details

I. General information

NPI: 1518133602
Provider Name (Legal Business Name): SABA PERVEZ KHOKHAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2008
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 INDUSTRIAL PARK RD
TAUNTON MA
02780-7395
US

IV. Provider business mailing address

100 INDUSTRIAL PARK RD
TAUNTON MA
02780-7395
US

V. Phone/Fax

Practice location:
  • Phone: 248-821-5821
  • Fax:
Mailing address:
  • Phone: 800-423-0473
  • Fax: 833-438-3271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number257133
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301088576
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number257133
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: