Individual
DR. KHALIDA ASSADULLAH PATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
888 MORADA PL, ALTADENA, CA 91001-2425
(626) 696-3692
(626) 696-3784
Mailing address
888 MORADA PL, ALTADENA, CA 91001-2425
(626) 696-3692
(626) 696-3784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A97589
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
A97589
CA
208M00000X
Hospitalist Physician
Primary
A97589
CA
Other
Enumeration date
09/07/2007
Last updated
10/20/2021
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