| Saba Khan, PA | |
|
30 Broad St Fl 45, New York, NY 10004-2942 | |
| (888) 663-6331 | |
| (415) 252-7176 |
| Full Name | Saba Khan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 30 Broad St Fl 45, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376856187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 014073 (New York) | Primary |
| 363A00000X | Physician Assistant | 085006675 (Illinois) | Secondary |
| Entity Name | Physicians Immediate Care North Chicago LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
| Entity Name | Innovative Platinum Care, SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114397056 PECOS PAC ID: 7012210461 Enrollment ID: O20160120000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Saba Khan, PA 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 Ph: (415) 658-6791 | Saba Khan, PA 30 Broad St Fl 45, New York, NY 10004-2942 Ph: (888) 663-6331 |
Mr. Martin Haynes Nicol Sr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2367-69 2nd Ave, New York, NY 10035 Phone: 212-876-2300 Fax: 212-369-8209 |
Mrs. Rachel T. Freeman, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 160 E 53rd St, 3rd Floor, New York, NY 10022 Phone: 212-610-0067 |
Geraldine Deguzman-javier, RPAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16th St. And 1st Ave., New York, NY 10003 Phone: 212-420-2121 |
Allison C. Santhouse, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 710, New York, NY 10022 Phone: 212-750-8900 Fax: 908-281-7796 |
Sarah E. Mccord, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 535 E 70th St, New York, NY 10021 Phone: 212-606-1585 Fax: 917-260-3185 |
Miss Sharona Deborah Kashimallak, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 462 1st Ave, New York, NY 10016 Phone: 516-578-9951 |
Rena Dymersky, RPA-C, MS Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Gustave L Levy Pl, New York, NY 10029 Phone: 212-241-6500 |