Individual
DR. MOHD. QAISAR A KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1535 W MERCED AVE, SUITE 302, WEST COVINA, CA 91790-3404
(626) 918-4566
(626) 851-9254
Mailing address
1535 W MERCED AVE, SUITE 302, WEST COVINA, CA 91790-3404
(626) 918-4566
(626) 851-9254
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A31322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A313220
—
CA
Enumeration date
07/14/2006
Last updated
07/08/2007
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