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Individual

HUMAYON YOUSUF KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1629 W 17TH ST, SUITE A, SANTA ANA, CA 92706-3335
(714) 972-2111
(714) 972-2045
Mailing address
1629 W 17TH ST, SUITE A, SANTA ANA, CA 92706-3335
(714) 972-2111
(714) 972-2045

Taxonomy

Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
G74748
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G747480
CA
Enumeration date
04/14/2007
Last updated
07/09/2007
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