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General NPI Number Information
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NPI Number | 1629014386
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Entity Type | Individual
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Provider Name | SARAH KHAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 630 E STATE HIGHWAY 114
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City | SOUTHLAKE
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State | TX
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Zip | 76092-4410
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Country | US
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Telephone | 817-329-8910
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Fax | 817-329-8911
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Provider Business Mailing Address
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Address Line | 630 E STATE HIGHWAY 114
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City | SOUTHLAKE
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State | TX
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Zip | 76092-4410
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Country | US
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Telephone | 817-329-8910
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Fax | 817-329-8911
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | L1091
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD-56162
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 14561-320
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 81278
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License Number State | MN
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