Individual
VISHAL KHIATANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 629-2364
Mailing address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 629-2364
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A146186
CA
Other
Enumeration date
05/01/2007
Last updated
12/08/2021
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