Individual
JOHN KHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1406 PARK ST STE 400, ALAMEDA, CA 94501-4559
(510) 865-6000
Mailing address
1803 MORELAND DR, ALAMEDA, CA 94501-1643
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
071543
GA
208D00000X
General Practice Physician
Primary
C159495
CA
Other
Enumeration date
04/13/2012
Last updated
04/16/2021
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