Individual
RAMIN NMI KHALILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
39 CONGRESS ST, SUITE 301, PASADENA, CA 91105-3024
(626) 486-0184
(626) 486-0217
Mailing address
39 CONGRESS ST, SUITE 301, PASADENA, CA 91105-3024
(626) 486-0184
(626) 486-0217
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G76811
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W21864
GROUP PTAN
CA
Enumeration date
08/30/2006
Last updated
04/07/2008
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