MEDICARE: SAHAR KHAN PA

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1831039205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAHAR KHAN PA

Provider Business Mailing Address
First Line	:	3993 LAWRENCEVILLE HWY NW STE 140A
Second Line	:
City	:	LILBURN
State	:	GA
Zip	:	30047-2897
Country	:	US
Telephone Number	:	404-333-8204
Fax Number	:	404-595-1404

Provider Business Practice Location Address
First Line	:	3993 LAWRENCEVILLE HWY NW STE 140A
Second Line	:
City	:	LILBURN
State	:	GA
Zip	:	30047-2897
Country	:	US
Telephone Number	:	404-333-8204
Fax Number	:	404-595-1404

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

Provider Enumeration Date	:	03/28/2026
Last Update Date	:	05/04/2026

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Directions to “ SAHAR KHAN PA” Practice Location

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