Organization
MOHAMMED KHAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED A MOHIUDDIN MD (PRESIDENT)
(972) 900-6009
Entity
Organization
Contact information
Practice address
613 S HOWARD ST, CORONA, CA 92879-2254
(951) 735-1257
(951) 736-9142
Mailing address
613 S HOWARD ST, CORONA, CA 92879-2254
(951) 735-1257
(951) 736-9142
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A78544
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A785440
—
CA
Enumeration date
08/05/2007
Last updated
07/25/2023
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