Khairullah, Nazifah
Khairullah, Nazifah is an individual health care provider with primary practice located at 2055 Lincoln Ave , Pasadena CA 91103-1324. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Khairullah, Nazifah can be contacted via phone (626) 488-8728.Contact Information
Primary practice address
2055 Lincoln Ave
Pasadena CA 91103-1324
Phone: (626) 488-8728
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA07450100 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C142450 | California |
Profile Details
| NPI number | 1659363562 |
|---|---|
| LBN Legal business name | Khairullah, Nazifah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Dec 27th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659363562 | NPPES |
| New Jersey | MEDICAID | 8971307 |
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