Provider Demographics
NPI:1649914425
Name:KHAN, SANA
Entity type:Individual
Prefix:DR
First Name:SANA
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 E PRINCE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-2025
Mailing Address - Country:US
Mailing Address - Phone:520-870-1394
Mailing Address - Fax:
Practice Address - Street 1:2414 E PRINCE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2025
Practice Address - Country:US
Practice Address - Phone:520-626-7000
Practice Address - Fax:520-626-6020
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-26
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR79454207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine