Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 30.026639 | OH |
Y | 213EG0000X | General Practice | 30.026639 | OH |
NPI | 1003588021 |
---|---|
Provider Name | Dr. Saarah Khan |
First Address | Springfield, OH 45503-1312 |
Second Address | Blue Ash, OH 45242-6180 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2021 |
Last Update Date | 28/09/2021 |