Individual
MAHER KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18546 ROSCOE BLVD STE 220A, NORTHRIDGE, CA 91324-4663
(818) 993-4403
(661) 259-8793
Mailing address
9227 RESEDA BLVD # 490, NORTHRIDGE, CA 91324-3137
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A125999
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A125999
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103I207734
—
TN
Enumeration date
08/07/2012
Last updated
04/24/2020
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