Individual
DR. MOHSIN RIAZ KHALIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5505 SATINLEAF WAY, SAN RAMON, CA 94582-5059
(925) 365-1216
Mailing address
5505 SATINLEAF WAY, SAN RAMON, CA 94582-5059
(925) 365-1216
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
22590
WV
2084P0804X
Child & Adolescent Psychiatry Physician
35083976
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A 98212
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2459156
—
OH
05
—
3810000218
—
WV
Enumeration date
04/19/2006
Last updated
10/24/2012
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