| Khalid B. Khan M.d., Inc | |
|
13425 Inglewood Ave Hawthorne CA 90250-5608 | |
| (310) 679-2201 | |
| (310) 679-4236 |
| Full Name | Khalid B. Khan M.d., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 13425 Inglewood Ave, Hawthorne, California |
| Authorized Official Name and Position | Khalid B Khan (OWNER) |
| Authorized Official Contact | 3106792201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Khalid B. Khan M.d., Inc 13425 Inglewood Ave Hawthorne CA 90250-5608 Ph: (310) 679-2201 | Khalid B. Khan M.d., Inc 13425 Inglewood Ave Hawthorne CA 90250-5608 Ph: (310) 679-2201 |
| NPI Number | 1750327235 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 12/14/2012 |
| Medicare PECOS PAC ID | 5294758744 |
|---|---|
| Medicare Enrollment ID | O20060110001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750327235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A62486 (California) | Primary |
| Provider Name | Khalid B Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063440840 PECOS PAC ID: 1254375777 Enrollment ID: I20050615000974 |
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