Individual
SABINA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
560 S MAPLE ST, SUITE NUMBER 220, WACONIA, MN 55387
(952) 442-8011
Mailing address
4695 SHORELINE DR, SPRING PARK, MN 55384-9715
(952) 442-7895
(952) 442-7894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43187
MN
207RG0100X
Gastroenterology Physician
Primary
43187
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191677700
—
MN
Enumeration date
01/10/2006
Last updated
12/10/2008
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