Healthcare Provider Details

I. General information

NPI: 1053517490
Provider Name (Legal Business Name): UZMA ANWER REHMAN KHAN M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: UZMA ANWER MD

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 10/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 LOVERIDGE RD 2ND FLOOR
PITTSBURG CA
94565-5117
US

IV. Provider business mailing address

2311 LOVERIDGE RD 2ND FLOOR
PITTSBURG CA
94565-5117
US

V. Phone/Fax

Practice location:
  • Phone: 925-431-2600
  • Fax: 925-431-2644
Mailing address:
  • Phone: 925-431-2600
  • Fax: 925-431-2644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA100026
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: