MEDICARE: SARAH KHAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	R0042	TX
2	208M00000X	Hospitalist Physician	R0042	TX
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	R0042	TX

General Provider Information

NPI Number	:	1194165225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH KHAN MD

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-7201
Country	:	US
Telephone Number	:	214-648-9741
Fax Number	:	214-648-9531

Provider Business Practice Location Address
First Line	:	2001 INWOOD RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-3404
Country	:	US
Telephone Number	:	214-645-2800
Fax Number	:	214-648-9531

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2013
Last Update Date	:	06/07/2024

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