Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | M3611 | TX |
NPI | 1043371784 |
---|---|
Provider Name | Mr. Saadat Ali Khan |
First Address | Plano, TX 75024-3097 |
Second Address | Plano, TX 75093-5864 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 18/06/2020 |