Khan, Mohammad Shahid A

Khan, Mohammad Shahid A is an individual health care provider with primary practice located at 400 N Pepper Ave , Colton CA 92324-1801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khan, Mohammad Shahid A can be contacted via phone (909) 580-1000.

Contact Information

Primary practice address
400 N Pepper Ave Colton CA 92324-1801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A81486 California

Profile Details

NPI number 1477589257
LBN Legal business name Khan, Mohammad Shahid A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Feb 27th, 2008 - about 17 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 1477589257 NPPES
California MEDICAID 00A814860

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