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General NPI Number Information
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NPI Number | 1790066512
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Entity Type | Organization
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Legal Business Name | ZIAD UMAR KHAN MD INC
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 24210 DOESKIN PL
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City | DIAMOND BAR
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State | CA
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Zip | 91765-4505
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Country | US
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Telephone | 909-575-9481
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Fax |
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Provider Business Mailing Address
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Address Line | 24210 DOESKIN PL
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City | DIAMOND BAR
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State | CA
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Zip | 91765-4505
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Country | US
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Telephone | 909-575-9481
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. ZIAD UMAR KHAN
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Credential | MD
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Telephone | 909-575-9481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A112115
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License Number State | CA
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