| Imran Aziz Khan Inc | |
|
556 S Fair Oaks Ave # 599 Pasadena CA 91105-2656 | |
| (213) 944-6982 | |
| Not Available |
| Full Name | Imran Aziz Khan Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 556 S Fair Oaks Ave # 599, Pasadena, California |
| Authorized Official Name and Position | Imran Aziz Khan (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2139446982 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imran Aziz Khan Inc 556 S Fair Oaks Ave # 599 Pasadena CA 91105-2656 Ph: (213) 944-6982 | Imran Aziz Khan Inc 556 S Fair Oaks Ave # 599 Pasadena CA 91105-2656 Ph: (213) 944-6982 |
| NPI Number | 1174263503 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 04/01/2022 |
| Medicare PECOS PAC ID | 6305223355 |
|---|---|
| Medicare Enrollment ID | O20220513001274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174263503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Imran A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992908123 PECOS PAC ID: 4183792484 Enrollment ID: I20081013000585 |
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