Healthcare Provider Details

I. General information

NPI: 1659959062
Provider Name (Legal Business Name): KAZI NAJAMUS-SAQIB KHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 SWEETBAY DR
SALISBURY MD
21804-1664
US

IV. Provider business mailing address

1821 SWEETBAY DR
SALISBURY MD
21804-1664
US

V. Phone/Fax

Practice location:
  • Phone: 410-546-4427
  • Fax:
Mailing address:
  • Phone: 410-546-4427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberC1-0029747
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberD0106680
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: