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General NPI Number Information
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NPI Number | 1912251133
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Entity Type | Organization
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Legal Business Name | SABA KHAN M.D, P.A
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Dates
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Enumeration Date | 11/09/2012
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 800 BONAVENTURE WAY STE 143
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City | SUGAR LAND
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State | TX
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Zip | 77479-8006
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Country | US
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Telephone | 832-999-4694
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Fax | 832-999-4467
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Provider Business Mailing Address
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Address Line | 800 BONAVENTURE WAY STE 143
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City | SUGAR LAND
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State | TX
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Zip | 77479-8006
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Country | US
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Telephone | 832-999-4694
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Fax | 832-999-4467
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Authorized Official
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Title or Position | M.D
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Name | SABA KHAN
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Credential | M.D
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Telephone | 832-999-4694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | M5287
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License Number State | TX
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