Individual
MUSTAFA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 724-7464
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A145306
CA
Other
Enumeration date
03/27/2012
Last updated
11/22/2021
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