Khairolomour, Pegah

Khairolomour, Pegah is an individual health care provider with primary practice located at 3288 Bell Road , Auburn CA 95603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Khairolomour, Pegah can be contacted via phone (530) 886-2300.

Contact Information

Primary practice address
3288 Bell Road Auburn CA 95603
Fax: (530) 886-2301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A69773 California

Profile Details

NPI number 1689769176
LBN Legal business name Khairolomour, Pegah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jun 1st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689769176 NPPES
California MEDICAID 00A697730

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