Individual
DR. JAVAID M. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
Mailing address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
OS11890
FL
207KA0200X
Allergy Physician
Primary
20A13876
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
OS11890
FL
208M00000X
Hospitalist Physician
OS11890
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0043790
—
CA
01
—
ZZZ21572Z
BAZ ALLERGY, ASTHMA & SINUS CENTER GRP PTAN
CA
Enumeration date
06/25/2008
Last updated
12/17/2021
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