Individual
OMER RAFIQ KHAYALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9961 SIERRA AVE BSMT, NEUROLOGY, FONTANA, CA 92335-6720
(909) 427-5306
Mailing address
9961 SIERRA AVE BSMT, NEUROLOGY, FONTANA, CA 92335-6720
(909) 427-5306
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A123936
CA
Other
Enumeration date
07/11/2012
Last updated
11/30/2021
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