Healthcare Provider Details

I. General information

NPI: 1427623735
Provider Name (Legal Business Name): AK ARTHRITIS & RHEUMATOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2021
Last Update Date: 05/20/2021
Certification Date: 05/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W HERNDON AVE STE 103
CLOVIS CA
93612-0381
US

IV. Provider business mailing address

255 W HERNDON AVE STE 103
CLOVIS CA
93612-0381
US

V. Phone/Fax

Practice location:
  • Phone: 559-438-1245
  • Fax: 559-261-2968
Mailing address:
  • Phone: 559-438-1245
  • Fax: 559-261-2968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. UZMA KHAN
Title or Position: OWNER
Credential: MD
Phone: 559-438-1245