Organization
NOVA MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAADAT ALI KHAN MD (OWNER)
(336) 586-0994
Entity
Organization
Contact information
Practice address
2991 CROUSE LN, BURLINGTON, NC 27215-8833
(336) 586-0994
(336) 586-9363
Mailing address
2991 CROUSE LN, BURLINGTON, NC 27215-8833
(336) 586-0994
(336) 586-9363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190A
BCBS
NC
05
—
790190A
—
NC
Enumeration date
06/30/2009
Last updated
06/30/2009
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