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General NPI Number Information
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NPI Number | 1730121484
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Entity Type | Organization
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Legal Business Name | KHURAM AKBAR SIAL, M.D., PC
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1810 FULLERTON AVE SUITE 104
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City | CORONA
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State | CA
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Zip | 92881-3103
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Country | US
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Telephone | 951-734-7246
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Fax | 951-734-7245
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Provider Business Mailing Address
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Address Line | 25568 VIA SARAH
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City | WILDOMAR
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State | CA
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Zip | 92595-7405
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Country | US
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Telephone | 951-240-1418
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Fax |
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Authorized Official
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Title or Position | OWNER MEDICAL DIRECTOR
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Name | KHURAM AKBAR SIAL
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Credential | MD
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Telephone | 951-240-1418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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