Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2004035766 | MO |
N | 111NI0900X | Internist | 2004035766 | MO |
Y | 207RA0201X | Internist - Allergy & Immunology | 0434939 | KS |
NPI | 1932315769 |
---|---|
Provider Name | Sadia M Hayat Khan |
First Address | Kansas City, KS 66160 |
Second Address | Kansas City, KS 66160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 19/11/2014 |