Individual ProviderSana KhanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address20 York Street, Cb-2041, New Haven, CT 06510(203) 688-4748PECOS EnrollmentBased on the most recent information from CMS, provider Sana Khan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1093133290Provider TypeIndividualFull NameKhan, SanaTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/3/2014Last Updated10/15/2024Contact InformationPractice LocationPractice Address20 York Street, Cb-2041, New Haven, CT 06510Phone(203) 688-4748Fax(203) 688-4740Mailing LocationMailing Address20 York Street, Cb-2041, New Havewn, CT 06510-3220Phone(203) 688-4748Fax(203) 688-4740Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA168289CaliforniaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense290229New YorkCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense56818ConnecticutCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense290229New YorkProvider IdentifiersIDDescriptionIssuerID56818DescriptionOtherIssuerLICENSEConnecticutID290229DescriptionOtherIssuerLICENSENew York