Individual
SADIA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
(909) 580-1363
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
(909) 580-1363
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A11449
CA
Other
Enumeration date
03/09/2011
Last updated
10/08/2012
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