Basic Information
| Provider Information | |||||||||
| NPI: | 1023040292 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KHAN | ||||||||
| FirstName: | SADIA | ||||||||
| MiddleName: | REHMAN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 301 ST. PAUL PLACE | ||||||||
| Address2: | MEDICAL STAFF OFFICE | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212022102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106592802 | ||||||||
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| Practice Location | |||||||||
| Address1: | 301 ST. PAUL PLACE | ||||||||
| Address2: | RHEUMATOLOGY OFFICE - POB # 411 | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212022102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103329346 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD419414 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RR0500X | MD419414 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | 207RR0500X | D83551 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
ID Information
| ID | Type | State | Issuer | Description | 2124945 | 01 | PA | MAMSI-WMG | OTHER | 628514 | 01 | MD | CAREFIRST MD BCBS | OTHER | 153462 | 01 | PA | UNISON-WMG | OTHER | 7275919 | 01 | PA | AETNA | OTHER | 106835 | 01 | PA | JOHNS HOPKINS | OTHER | 1537981 | 01 | PA | GATEWAY-WMG | OTHER | 50065257 | 01 | PA | CAPITAL BLUE CROSS-WMG | OTHER | 100891440 | 05 | PA | MEDICAID | 20033201 | 01 | PA | AMERIHEALTH MERCY-WMG | OTHER | 89154 | 01 | PA | GEISINGER | OTHER | 1593041 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER |