Individual
AMAN SHABI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 SULLIVAN AVE, SUITE 330, DALY CITY, CA 94015-2223
(650) 756-5630
(650) 756-0136
Mailing address
1850 SULLIVAN AVE, SUITE 330, DALY CITY, CA 94015-2223
(650) 756-5630
(650) 756-0136
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A60839
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A608390
—
CA
01
—
0208450001
MEDICARE NSC GROUP
CA
01
—
200046337
MEDICARE RAILROAD
CA
01
—
A60839
STATE
CA
01
—
ZZZ32209Z
GROUP MEDICARE
CA
Enumeration date
08/01/2006
Last updated
12/08/2009
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