Individual
ANDREW S. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15248 11TH ST, EMERGENCY DEPARTMENT, VICTORVILLE, CA 92395-3704
(760) 245-8691
(760) 843-6020
Mailing address
PO BOX 660519, ARCADIA, CA 91066-0519
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A6501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX65010
—
CA
Enumeration date
05/08/2006
Last updated
01/02/2013
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