Provider Demographics
NPI:1427083252
Name:KHAN, SADIA A (MD)
Entity type:Individual
Prefix:
First Name:SADIA
Middle Name:A
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8101 HINSON FARM RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-3403
Mailing Address - Country:US
Mailing Address - Phone:703-888-3036
Mailing Address - Fax:703-888-3175
Practice Address - Street 1:8101 HINSON FARM RD
Practice Address - Street 2:SUITE 201
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-3403
Practice Address - Country:US
Practice Address - Phone:703-888-3036
Practice Address - Fax:703-888-3175
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2010-10-15
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Provider Licenses
StateLicense IDTaxonomies
VA01012395092084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA154242Medicare UPIN