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Organization
ALAN KHADAVI, MD, APC
Active
Organization
ALAN KHADAVI, MD, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN KHADAVI (PRESIDENT/MD)
(516) 672-3395
Entity
Organization
Contact information
Practice address
2809 TWEEDY BLVD, SOUTH GATE, CA 90280-5538
(323) 567-9909
(323) 567-9929
Mailing address
3314 FIRESTONE BLVD, SOUTH GATE, CA 90280-2938
(323) 567-4483
(323) 567-2647
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A109088
CA
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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