Individual
AYUB KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1529 SEABRIGHT AVE, SANTA CRUZ, CA 95062-2528
(831) 458-6230
Mailing address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT34450
CA
Other
Enumeration date
05/05/2008
Last updated
12/29/2011
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