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Organization
MOSAJIL MEDICAL CORPORATION
Active
Organization
MOSAJIL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAM KHAN M.D. (PRESIDENT)
(510) 652-5549
Entity
Organization
Contact information
Practice address
1599 TARA HILLS DR, LASER SURGERY CENTER, PINOLE, CA 94564-2519
(510) 724-8282
Mailing address
5887 MARGARIDO DR, OAKLAND, CA 94618-1834
(510) 652-5549
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C2628504
CA
Other
Enumeration date
10/26/2010
Last updated
12/17/2010
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