Individual
DR. KHALIL FATTAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2951 WINCHESTER BLVD, CAMPBELL, CA 95008-5319
(408) 378-3467
Mailing address
2951 WINCHESTER BLVD, CAMPBELL, CA 95008-5319
(408) 378-3467
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0A43193
CA
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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