Individual
HABIB AHMAD KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S WELLS RD, SUITE 200, VENTURA, CA 93004-1377
(805) 659-1740
(805) 659-3217
Mailing address
200 S WELLS RD, SUITE 200, VENTURA, CA 93004-1377
(805) 659-1740
(805) 659-3217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A129432
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
H89660
MD
390200000X
Student in an Organized Health Care Education/Training Program
4301099080
MI
Other
Enumeration date
08/01/2011
Last updated
06/30/2020
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