Individual
GAUHAR R KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1409 E BRIGGSMORE AVE, MODESTO, CA 95355
(209) 550-4750
(209) 572-1187
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A102895
CA
207RI0011X
Interventional Cardiology Physician
MD25690
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278082
—
OR
01
—
P00250897
RAILROAD MEDICARE
—
Enumeration date
12/21/2006
Last updated
08/26/2019
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