MEDICARE: SARAH KHAN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	402891	NY

General Provider Information

NPI Number	:	1871129114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH KHAN

Provider Business Mailing Address
First Line	:	4725 DORSEY HALL DR STE A-1020
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-7713
Country	:	US
Telephone Number	:	917-936-4160
Fax Number	:	443-258-5331

Provider Business Practice Location Address
First Line	:	4725 DORSEY HALL DR
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-7713
Country	:	US
Telephone Number	:	917-936-4160
Fax Number	:	443-258-5331

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

Provider Enumeration Date	:	03/18/2020
Last Update Date	:	10/10/2025

Similar Medicare Providers

1538296223 — GUIDE SERVICES INC
Practice Location Address:

4725 DORSEY HALL DR STE A317
ELLICOTT CITY, MD
21042-7713

Practice Phone: 443-274-7887
Practice Fax: 410-970-6969

1093806093 — DR. VIC S OYAS M.D.
Practice Location Address:

1980 MESQUITE AVE STE 101
LAKE HAVASU CITY, AZ
86403-7713

Practice Phone: 928-680-1919
Practice Fax: 928-680-0488

1912068198 — ALEXIS J ARAMINI CPNP
Practice Location Address:

1980 MESQUITE AVE STE 101
LAKE HAVASU CITY, AZ
86403-7713

Practice Phone: 928-680-1919
Practice Fax: 928-680-0488

1437353984 — DR. TERRY LEE BASS DDS
Practice Location Address:

2213 NW 56TH TER
OKLAHOMA CITY, OK
73112-7713

Practice Phone: 405-826-2857
Practice Fax:

1437340098 — HAVASU RAINBOW PEDIATRICS
Practice Location Address:

1980 MESQUITE AVE STE 101
LAKE HAVASU CITY, AZ
86403-7713

Practice Phone: 928-680-1919
Practice Fax: 928-680-0488

1356535405 — WESTERN ARIZONA FOOT & ANKLE
Practice Location Address:

1980 MESQUITE AVE , SUITE 103
LAKE HAVASU CITY, AZ
86403-7713

Practice Phone: 928-680-4934
Practice Fax: 928-505-4416

Directions to “ SARAH KHAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.