Individual
BASEER M KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2615
(951) 321-6477
(951) 784-3274
Mailing address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 321-6477
(951) 784-3274
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A67344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A673440
—
CA
Enumeration date
11/21/2006
Last updated
04/14/2025
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