Individual
DR. ALAN OMID KHADAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9001 WILSHIRE BLVD, SUITE 100, BEVERLY HILLS, CA 90211-1838
(310) 282-8822
(424) 239-1033
Mailing address
9001 WILSHIRE BLVD, SUITE 100, BEVERLY HILLS, CA 90211-1838
(310) 282-8822
(424) 239-1033
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A109088
CA
207KA0200X
Allergy Physician
227126
NY
208000000X
Pediatrics Physician
227126
NY
Other
Enumeration date
07/04/2006
Last updated
06/22/2015
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