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NPI Code Detail

MEDICARE: UMAIR KHALID MD

MEDICARE: UMAIR KHALID MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA185393CA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1033739180
Entity Type Code : Individual
Provider Name (Legal Business Name) : UMAIR KHALID MD
Provider Business Mailing Address
First Line : 1111 E SPRUCE AVE STE 431
Second Line :
City : FRESNO
State : CA
Zip : 93720-3330
Country : US
Telephone Number : 559-450-7449
Fax Number : 559-450-7470
Provider Business Practice Location Address
First Line : 2006 SHAW AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93611-4192
Country : US
Telephone Number : 559-450-5880
Fax Number : 559-450-5881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2020
Last Update Date : 05/04/2023

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