Individual
AYAD KHOURDAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 S HAM LN STE 26, LODI, CA 95242-7510
(209) 368-6661
(209) 333-7655
Mailing address
830 S HAM LN STE 26, LODI, CA 95242-7510
(209) 368-6661
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A153658
CA
Other
Enumeration date
06/25/2012
Last updated
10/10/2019
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