Individual
DR. SAJID ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 FRONT ST, SUITE C, VESTAL, NY 13850-1559
(607) 748-7468
(607) 748-7469
Mailing address
46 HARRISON ST, JOHNSON CITY, NY 13790-2120
(607) 729-4942
(607) 729-7516
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
D0064244
MD
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D0064244
MD
Other
Enumeration date
03/08/2006
Last updated
08/25/2016
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