Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A97589 | CA |
N | 111NI0900X | Internist | A97589 | CA |
N | 207RH0002X | Hospice and Palliative Medicine | A97589 | CA |
NPI | 1265627707 |
---|---|
Provider Name | Dr. Khalida Assadullah Pathan |
First Address | Altadena, CA 91001-2425 |
Second Address | Altadena, CA 91001-2425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2007 |
Last Update Date | 20/10/2021 |