Individual
ALAM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
726 4TH ST, MARYSVILLE, CA 95901-5656
(530) 749-4300
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G79534
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G795340
—
CA
Enumeration date
06/08/2006
Last updated
04/13/2015
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