Provider Demographics
NPI:1215066048
Name:KHAN, SAIMA AHMAD (MD)
Entity type:Individual
Prefix:DR
First Name:SAIMA
Middle Name:AHMAD
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4735 OGLETOWN STANTON RD STE 3301
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-7021
Mailing Address - Country:US
Mailing Address - Phone:026-234-3703
Mailing Address - Fax:302-623-4375
Practice Address - Street 1:4735 OGLETOWN STANTON RD STE 3301
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-7021
Practice Address - Country:US
Practice Address - Phone:026-234-3703
Practice Address - Fax:302-623-4375
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0026880208600000X
MDD0099762208600000X
WV23677208600000X
IN01075877A208600000X
KY48665208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVA648OtherGROUP MEDICARE
WV1013280833OtherGROUP MEDICAID
WV3810016360Medicaid
WVA648OtherGROUP MEDICARE