| Mir Ali-khan M D Professional Corporation | |
|
500 E Olive Ave Suite830 Burbank CA 91501-3316 | |
| (818) 845-3510 | |
| (818) 845-0528 |
| Full Name | Mir Ali-khan M D Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 500 E Olive Ave, Burbank, California |
| Authorized Official Name and Position | Mir I Ali-khan (PRESIDENT) |
| Authorized Official Contact | 8188453510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mir Ali-khan M D Professional Corporation 500 E Olive Ave Suite830 Burbank CA 91501-3316 Ph: (818) 845-3510 | Mir Ali-khan M D Professional Corporation 500 E Olive Ave Suite830 Burbank CA 91501-3316 Ph: (818) 845-3510 |
| NPI Number | 1598999286 |
|---|---|
| Provider Enumeration Date | 05/08/2009 |
| Last Update Date | 05/08/2009 |
| Medicare PECOS PAC ID | 3971653023 |
|---|---|
| Medicare Enrollment ID | O20090610000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598999286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mir Ali-khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780608638 PECOS PAC ID: 7315844610 Enrollment ID: I20031215000989 |
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