Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD419414 | PA |
N | 111NI0900X | Internist | MD419414 | PA |
Y | 207RR0500X | Rheumatology | D83551 | MD |
N | 207RR0500X | Rheumatology | MD419414 | PA |
NPI | 1023040292 |
---|---|
Provider Name | Dr. Sadia Rehman Khan |
First Address | Baltimore, MD 21202-2102 |
Second Address | Baltimore, MD 21202-2102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100891440 | (05) | PA |
106835 | JOHNS HOPKINS (01) | PA |
153462 | UNISON-WMG (01) | PA |
1537981 | GATEWAY-WMG (01) | PA |
1593041 | HIGHMARK BLUE SHIELD (01) | PA |
20033201 | AMERIHEALTH MERCY-WMG (01) | PA |
2124945 | MAMSI-WMG (01) | PA |
50065257 | CAPITAL BLUE CROSS-WMG (01) | PA |
628514 | CAREFIRST MD BCBS (01) | MD |
7275919 | AETNA (01) | PA |
89154 | GEISINGER (01) | PA |
I03028 | (02) | PA |