Individual
SAFDAR GHAYUR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0877
(216) 444-2200
Mailing address
18200 LORAIN AVE, CLEVELAND, OH 44111-5605
(216) 476-7983
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35.122185
OH
207RP1001X
Pulmonary Disease Physician
42375
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000609731
ANTHEM PIN # WITH CHS, INC.
KY
05
—
0092278
—
OH
01
—
3397794
MEDICARE
OH
05
—
7100093900
—
KY
Enumeration date
03/23/2009
Last updated
06/20/2024
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