Individual
DR. AGAM KHANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
323 W SHAW AVE, CLOVIS, CA 93612-3692
(559) 297-4176
Mailing address
323 W SHAW AVE, CLOVIS, CA 93612-3692
(559) 325-1898
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34300
CA
Other
Enumeration date
07/29/2019
Last updated
06/04/2022
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