MEDICARE: SABA KHAYAL 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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	2008-01890	NC
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	45701	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	6185793	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1295925840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABA KHAYAL MD

Provider Business Mailing Address
First Line	:	P O BOX 1000 DEPT 978
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38148-0001
Country	:	US
Telephone Number	:	901-753-3322
Fax Number	:	901-753-3323

Provider Business Practice Location Address
First Line	:	6401 POPLAR AVE STE 400
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-4806
Country	:	US
Telephone Number	:	901-753-3322
Fax Number	:	901-753-3323

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

Provider Enumeration Date	:	07/30/2007
Last Update Date	:	10/15/2019

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Directions to “ SABA KHAYAL MD” Practice Location

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