Individual
DR. MUTAHIR UBAID KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 SPANOS CT, SUITE 230, MODESTO, CA 95355-2810
(209) 522-9863
Mailing address
1401 SPANOS CT, SUITE 230, MODESTO, CA 95355-2810
(209) 522-9863
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A112898
CA
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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