Provider Demographics
NPI:1427632041
Name:KHAN, SAIMA S
Entity type:Individual
Prefix:
First Name:SAIMA
Middle Name:S
Last Name:KHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3730 S LOTUS BROOK DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84119-7511
Mailing Address - Country:US
Mailing Address - Phone:801-400-9043
Mailing Address - Fax:
Practice Address - Street 1:3730 S LOTUS BROOK DR
Practice Address - Street 2:
Practice Address - City:SOUTH SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84119-7511
Practice Address - Country:US
Practice Address - Phone:801-400-9043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program