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Individual

PANKAJ M KHEMKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1211 W LA PALMA AVE STE 410, ANAHEIM, CA 92801-2806
(714) 288-8887
(714) 758-2927
Mailing address
480 N CHANDLER RANCH RD, ORANGE, CA 92869-4504
(714) 288-8887
(714) 758-2927

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G75135
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G751350
CA
Enumeration date
09/27/2006
Last updated
06/25/2010
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