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NPI Code Detail

MEDICARE: SADIM KHALAF

MEDICARE:   SADIM  KHALAF
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
1163W00000XRegistered Nurse95291688CA

General Provider Information

NPI Number : 1235976424
Entity Type Code : Individual
Provider Name (Legal Business Name) : SADIM KHALAF
Provider Business Mailing Address
First Line : 7413 RIVER NINE DR
Second Line :
City : MODESTO
State : CA
Zip : 95356-9221
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7413 RIVER NINE DR
Second Line :
City : MODESTO
State : CA
Zip : 95356-9221
Country : US
Telephone Number : 209-303-1380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2024
Last Update Date : 07/13/2024

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Directions to “ SADIM KHALAF ” Practice Location

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