Sanadiki, Khaled Ahmad
Sanadiki, Khaled Ahmad is an sole proprietor health care provider with primary practice located at 16850 Bear Valley Rd , Victorville CA 92395-5794. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Sanadiki, Khaled Ahmad can be contacted via phone (760) 241-8000.Contact Information
Primary practice address
16850 Bear Valley Rd
Victorville CA 92395-5794
Phone: (760) 241-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A34839 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A34839 | California |
Profile Details
| NPI number | 1821019449 |
|---|---|
| LBN Legal business name | Sanadiki, Khaled Ahmad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jan 30th, 2013 - about 12 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 | 1821019449 | NPPES |
| California | MEDICAID | 00A348390 | |
| California | Other | P00192634 |
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