Organization
MOHD QAISAR A KHAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHD QAISAR A KHAN M.D. (OWNER)
(626) 918-4566
Entity
Organization
Contact information
Practice address
1535 W MERCED AVE, STE 302, WEST COVINA, CA 91790-3404
(626) 918-4566
Mailing address
1535 W MERCED AVE, STE 302, WEST COVINA, CA 91790-3404
(626) 918-4566
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A31322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A313220
—
CA
Enumeration date
09/30/2010
Last updated
09/30/2010
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