Khan, Khadeer

Khan, Khadeer is an sole proprietor health care provider with primary practice located at 1251 W Redondo Beach Blvd Ste 201 , Gardena CA 90247-3457. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Khan, Khadeer can be contacted via phone (310) 387-2054.

Contact Information

Primary practice address
1251 W Redondo Beach Blvd Ste 201 Gardena CA 90247-3457
Phone: (310) 387-2054
Fax: (310) 362-3598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 19864 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19864 California

Profile Details

NPI number 1588964456
LBN Legal business name Khan, Khadeer
Credentials MSN, DNP, FNP, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2010
Last updated Jun 5th, 2024 - about 6 months 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 1588964456 NPPES
California MEDICAID 195UT0EB

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