Individual
SHAHID H KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4760 W SUNSET BLVD, LOS ANGELES, CA 90027-6063
(323) 783-4011
Mailing address
393 E WALNUT ST, 3RD FLOOR PHR SYSTEMS, PASADENA, CA 91188-0001
(000) 000-0000
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G49077
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G490770
—
CA
Enumeration date
11/13/2006
Last updated
07/07/2008
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