MEDICARE: DR. SAEED A KHAN M.D., M.B.A., F.A.CP

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	ME77602	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	110190571	OTHER	FL	RAILROAD MEDICARE PROV ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	107025	OTHER	FL	HUMANA PROVIDER ID
2	4028710	OTHER	FL	AETNA PROVIDER ID
3	1153727	OTHER	FL	BEECH STREET PROVIDER ID
4	46209	OTHER	FL	BCBSFL PROVIDER ID

General Provider Information

NPI Number	:	1366462590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAEED A KHAN M.D., M.B.A., F.A.CP

Provider Business Mailing Address
First Line	:	2257 HWY 441 NORTH
Second Line	:	SUITE A
City	:	OKEECHOBEE
State	:	FL
Zip	:	34972-1943
Country	:	US
Telephone Number	:	863-467-4788
Fax Number	:	863-467-9092

Provider Business Practice Location Address
First Line	:	2257 HWY 441 NORTH
Second Line	:	SUITE A
City	:	OKEECHOBEE
State	:	FL
Zip	:	34972-1943
Country	:	US
Telephone Number	:	863-467-4788
Fax Number	:	863-467-9092

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	07/02/2010

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