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Organization

ABDULLAH KHALID MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA MARTINEZ (PRACTICE MANAGER)
(209) 464-6422
Entity
Organization

Contact information

Practice address
1801 E MARCH LN STE C300, STOCKTON, CA 95210-6657
(209) 464-6422
(209) 464-0193
Mailing address
1801 E MARCH LN STE C300, STOCKTON, CA 95210-6657
(209) 464-6422
(209) 464-0193

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
207RP1001X
Pulmonary Disease Physician
208M00000X
Hospitalist Physician

Other

Enumeration date
04/11/2024
Last updated
08/30/2024
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