Basic Information
| Provider Information | |||||||||
| NPI: | 1023337961 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KHAN | ||||||||
| FirstName: | SAJEEL | ||||||||
| MiddleName: | REHMAT | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 RIVERWALK DR | ||||||||
| Address2: | |||||||||
| City: | ONA | ||||||||
| State: | WV | ||||||||
| PostalCode: | 255459587 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9789443940 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1600 MEDICAL CENTER DR STE B500 | ||||||||
| Address2: | |||||||||
| City: | HUNTINGTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 257013655 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3046911787 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2010 | ||||||||
| LastUpdateDate: | 11/17/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | 242139 | MA | N | Allopathic & Osteopathic Physicians | Neurological Surgery | 207T00000X | 29010 | WV | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.