Individual
ABDUL M KHALEQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2725 CAPITOL AVE, SUITE 300, SACRAMENTO, CA 95816-6004
(916) 262-9370
(916) 262-9375
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G77874
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G778740
—
CA
Enumeration date
10/04/2006
Last updated
05/08/2015
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