Individual
AMMAR KHASHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3910 VISTA WAY STE 106, OCEANSIDE, CA 92056-4513
(760) 941-2000
(760) 941-4900
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5050
(651) 968-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10880
MN
363A00000X
Physician Assistant
1521
MN
363A00000X
Physician Assistant
Primary
56687
CA
Other
Enumeration date
01/05/2011
Last updated
03/24/2020
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