Individual
ABDULLAH KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11234 ANDERSON ST RM A890A, LOMA LINDA, CA 92354-2804
(909) 558-7698
Mailing address
11234 ANDERSON ST RM A890A, LOMA LINDA, CA 92354-2804
(909) 558-7698
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A148163
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
A148163
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2014
Last updated
06/17/2019
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