Individual
HERKANWAL S. KHAIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1860 PENNSYLVANIA AVE STE 200, 200, FAIRFIELD, CA 94533-3550
(707) 646-4180
(707) 646-4181
Mailing address
1860 PENNSYLVANIA AVE STE 200, 200, FAIRFIELD, CA 94533-3550
(707) 646-4180
(707) 646-4181
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A95113
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073691564
—
CA
Enumeration date
11/01/2006
Last updated
07/13/2015
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