Khan, Abdul Qayyum

Khan, Abdul Qayyum is an individual health care provider with primary practice located at 850 Sultana Dr , Tracy CA 95376-4874. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Khan, Abdul Qayyum can be contacted via phone (845) 542-2716.

Contact Information

Primary practice address
850 Sultana Dr Tracy CA 95376-4874
Phone: (845) 542-2716
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1275160590
LBN Legal business name Khan, Abdul Qayyum
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2020
Last updated Mar 25th, 2020 - about 4 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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