MEDICARE: DR. SARAH AZIM KHAN-ATIF 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	294628	NY
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	T0256	TX

General Provider Information

NPI Number	:	1376802819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH AZIM KHAN-ATIF MD

Provider Business Mailing Address
First Line	:	5000 EL DORADO PKWY, SUITE 150
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033
Country	:	US
Telephone Number	:	972-968-9114
Fax Number	:	972-472-1676

Provider Business Practice Location Address
First Line	:	2601 LITTLE ELM PKWY STE 1204
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-1921
Country	:	US
Telephone Number	:	972-968-9114
Fax Number	:	972-472-1676

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

Provider Enumeration Date	:	05/03/2012
Last Update Date	:	10/02/2024

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