Khuram A Sial, M D | |
1810 Fullerton Ave, Suite 104, Corona, CA 92881-3103 | |
(951) 734-7246 | |
(877) 694-3331 |
Full Name | Khuram A Sial |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
Location | 1810 Fullerton Ave, Corona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508825381 | NPI | - | NPPES |
A90421 | Other | CA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | A90421 (California) | Primary |
Entity Name | Jack J Druet, Md, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114114881 PECOS PAC ID: 3971570524 Enrollment ID: O20040913001232 |
Mailing Address | Practice Location Address |
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Khuram A Sial, M D Po Box 3098, Torrance, CA 90510-3098 Ph: (310) 792-3914 | Khuram A Sial, M D 1810 Fullerton Ave, Suite 104, Corona, CA 92881-3103 Ph: (951) 734-7246 |
Kimberly Sneegas, P.T. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 20145 Kayne St, Corona, CA 92881 Phone: 951-818-4750 | |
Jeremy Hector Reynoso, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 255 E Rincon St, Corona, CA 92879 Phone: 951-523-8509 Fax: 951-221-8475 |