DR. SAJID KHAN MD NPI 1568946820

NPI Information

NPI: 1568946820
Provider Name: DR. SAJID KHAN, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
9109 BAYMEADOWS RD STE 3
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 420-7569
Get Directions

DR. Sajid Khan, MD is a general practice in Jacksonville, FL. DR. Sajid Khan, MD NPI is 1568946820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9109 BAYMEADOWS RD STE 3
JACKSONVILLE, FL
ZIP 32256-842
Phone: (904) 420-7569
Fax: (847) 221-6792

The NPI 1568946820 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2018 and was last updated on 12/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208D00000X	General Practice	2557	MINNESOTA	No
2	208D00000X	General Practice	ACN1161	FLORIDA	Yes
3	208D00000X	General Practice	TMD004428	PENNSYLVANIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	106420200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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