Individual
ASFAND KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 SMITH RANCH RD, SAN RAFAEL, CA 94903-1939
(415) 491-3000
Mailing address
111 SMITH RANCH RD, SAN RAFAEL, CA 94903-1939
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A170099
CA
2084P0802X
Addiction Psychiatry Physician
A170099
CA
Other
Enumeration date
05/02/2015
Last updated
11/23/2024
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