Individual
DR. PAVAN KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 467-6363
Mailing address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A116085
CA
2085R0204X
Vascular & Interventional Radiology Physician
A116085
CA
Other
Enumeration date
03/23/2009
Last updated
08/07/2020
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