Healthcare Provider Details

I. General information

NPI: 1144472432
Provider Name (Legal Business Name): SAIMA KHALID M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2008
Last Update Date: 02/17/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1143 E OREGON RD STE 101
LITITZ PA
17543-9299
US

IV. Provider business mailing address

1143 E OREGON RD STE 101
LITITZ PA
17543-9299
US

V. Phone/Fax

Practice location:
  • Phone: 717-569-7670
  • Fax: 717-581-3896
Mailing address:
  • Phone: 717-569-7670
  • Fax: 717-581-3896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberMD475751
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD475751
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier008002934
Identifier TypeMEDICAID
Identifier StateCT
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: