Healthcare Provider Details

I. General information

NPI: 1083529036
Provider Name (Legal Business Name): SAHAR SABA KHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7505 S 180TH AVE
OMAHA NE
68136-1621
US

IV. Provider business mailing address

7829 N 154TH ST
BENNINGTON NE
68007-1848
US

V. Phone/Fax

Practice location:
  • Phone: 402-808-0487
  • Fax:
Mailing address:
  • Phone: 402-808-0487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: