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Individual
REHAN KHAN
Active
Individual
REHAN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17347
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208450001
MEDICARE NSC GROUP
CA
01
—
P00716856
MEDICARE RAILROAD PTAN
CA
Enumeration date
08/01/2006
Last updated
12/15/2009
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