Individual
JAHANZEB ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3554 ROUND BARN BLVD, SANTA ROSA, CA 95403-0929
(707) 571-3778
Mailing address
3554 ROUND BARN BLVD, SANTA ROSA, CA 95403-0929
(707) 571-3778
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
145170
CA
2084P0800X
Psychiatry Physician
51778
AZ
Other
Enumeration date
01/08/2013
Last updated
03/17/2018
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