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Individual

ALIYA KHAN KOHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1141 PEAR TREE LN STE 100, NAPA, CA 94558-6485
(707) 254-1770
(707) 254-1779
Mailing address
1141 PEAR TREE LN STE 100, NAPA, CA 94558-6485
(707) 254-1770
(707) 254-1779

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301072057
MI
207Q00000X
Family Medicine Physician
Primary
C174925
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080H262390
BLUE CROSS-BLUE CROSS
05
104527340
MI
05
442947510
MI
01
AK072057
COMMERCIAL-COMMERCIAL NUMBER
Enumeration date
09/02/2006
Last updated
01/06/2023
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