Individual
ZERSHANA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1209 W TOKAY ST, LODI, CA 95240-3967
(209) 331-2070
Mailing address
1209 W TOKAY ST, LODI, CA 95240-3967
(209) 331-2070
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A179803
CA
Other
Enumeration date
05/16/2019
Last updated
07/10/2024
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