Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RS0012X | Sleep Medicine | A121566 | CA |
N | 2080P0214X | Pediatric Pulmonologist | A121566 | CA |
NPI | 1659532117 |
---|---|
Provider Name | Dr. Salman Raza Khan |
First Address | Pasadena, CA 91101-2717 |
Second Address | Pasadena, CA 91101-2717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2008 |
Last Update Date | 05/01/2022 |