Individual
JOHN A KHAN-VARIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1551 BISHOP ST, SAN LUIS OBISPO, CA 93401-4635
(805) 269-1500
(805) 929-6440
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8030
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A30544
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841217866
—
CA
01
—
BE373Z
PTAN W1508
CA
Enumeration date
07/11/2006
Last updated
06/30/2021
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