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Organization

BS KHEHAR MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BHUPHINDER S. KHEHAR M.D. (PRESIDENT)
(619) 291-9285
Entity
Organization

Contact information

Practice address
4060 FOURTH AVE, SUITE 335, SAN DIEGO, CA 92103-2116
(619) 291-9285
(619) 291-9289
Mailing address
4060 FOURTH AVE, SUITE 335, SAN DIEGO, CA 92103-2116
(619) 291-9285
(619) 291-9289

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A61891
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A618910
BLUE SHIELD
CA
05
00A618910
CA
01
W19010
INTERNAL MEDICINE
CA
Enumeration date
10/05/2006
Last updated
07/22/2015
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