| Mansurur R. Khan M.d. Inc. | |
|
255 E Bonita Ave Ste 101 Building 101 Pomona CA 91767-1923 | |
| (323) 359-5610 | |
| Not Available |
| Full Name | Mansurur R. Khan M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 255 E Bonita Ave, Pomona, California |
| Authorized Official Name and Position | Mansurur R Khan (PRESIDENT) |
| Authorized Official Contact | 3233595610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansurur R. Khan M.d. Inc. 1738 Velto Way Upland CA 91784-9273 Ph: (323) 359-5610 | Mansurur R. Khan M.d. Inc. 255 E Bonita Ave Ste 101 Building 101 Pomona CA 91767-1923 Ph: (323) 359-5610 |
| NPI Number | 1649514431 |
|---|---|
| Provider Enumeration Date | 11/16/2012 |
| Last Update Date | 12/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649514431 | NPI | - | NPPES |
| A72399 | Other | CA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A72399 (California) | Primary |
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