Amanda J Khan, PHD is a
Psychologist - Clinical based in San Diego, California. Amanda J Khan is licensed to practice in California (license number PSY32361) and her current practice location is
501 W Broadway Ste A587, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 273-0129.
NPI number for Amanda J Khan is 1225438708 and her current mailing address is 501 W Broadway Ste A587, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225438708.
Healthcare Provider's Profile
Full Name | Amanda J Khan |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 501 W Broadway Ste A587, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225438708
- Provider Enumeration Date: 09/03/2014
- Last Update Date: 04/25/2021
Medical Identifiers
Medical identifiers for Amanda J Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225438708 | NPI | - | NPPES |
110026265E | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PSY32361 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda J Khan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda J Khan, PHD 501 W Broadway Ste A587, San Diego, CA 92101-3536 Ph: (619) 273-0129 | Amanda J Khan, PHD 501 W Broadway Ste A587, San Diego, CA 92101-3536 Ph: (619) 273-0129 |
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