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Individual
DR. SYED A KHASIMUDDIN
Active
Individual
DR. SYED A KHASIMUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A87340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A873400
BLUE SHIELD
CA
05
—
00A873400
—
CA
01
—
P00284490
RR MEDICARE
CA
Enumeration date
07/20/2006
Last updated
07/16/2009
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