Organization
KHURAM AKBAR SIAL, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHURAM AKBAR SIAL MD (OWNER MEDICAL DIRECTOR)
(951) 240-1418
Entity
Organization
Contact information
Practice address
1810 FULLERTON AVE, SUITE 104, CORONA, CA 92881-3103
(951) 734-7246
(951) 734-7245
Mailing address
25568 VIA SARAH, WILDOMAR, CA 92595-7405
(951) 240-1418
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A90421
STATE LICENSE
CA
01
—
ZZZ30944Z
MEDICARE
CA
Enumeration date
06/10/2006
Last updated
03/07/2023
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