Individual
KHURSHED J DASTUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 N TUSTIN AVE, UNIT A, SANTA ANA, CA 92705-3509
(714) 835-6055
(714) 285-9084
Mailing address
1100 N TUSTIN AVE, UNIT A, SANTA ANA, CA 92705-3509
(714) 835-6055
(714) 285-9084
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
C56086
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD033846L
PA
Other
Enumeration date
07/05/2005
Last updated
06/30/2014
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