Organization
IFTIKHAR A. KHAN M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NOOR ZUBEIDA KHAN (SECRETARY/MANAGER)
(323) 725-3099
Entity
Organization
Contact information
Practice address
101 E BEVERLY BLVD, SUITE # 406, MONTEBELLO, CA 90640-4300
(323) 725-3099
(323) 725-2998
Mailing address
101 E BEVERLY BLVD, SUITE # 406, MONTEBELLO, CA 90640-4300
(323) 725-3099
(323) 725-2998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A368241
—
CA
Enumeration date
11/20/2007
Last updated
10/14/2011
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