Individual
DR. MUSHTAQ AHMAD KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 W OLYMPIC BLVD, LOS ANGELES, CA 90015-1329
(213) 623-2225
(213) 765-4150
Mailing address
1025 W OLYMPIC BLVD, LOS ANGELES, CA 90015-1329
(213) 623-2225
(213) 765-4150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A051034
CA
208M00000X
Hospitalist Physician
Primary
A051034
CA
Other
Enumeration date
11/20/2006
Last updated
09/23/2021
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