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NPI Code Detail

MEDICARE: NASEEM KHORRAM MD

MEDICARE:   NASEEM  KHORRAM  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
1207RN0300XNephrology PhysicianA177157CA

General Provider Information

NPI Number : 1366901530
Entity Type Code : Individual
Provider Name (Legal Business Name) : NASEEM KHORRAM MD
Provider Business Mailing Address
First Line : 5 SPINNING WHEEL LN
Second Line :
City : ROLLING HILLS ESTATES
State : CA
Zip : 90274-5132
Country : US
Telephone Number : 310-308-7512
Fax Number :
Provider Business Practice Location Address
First Line : 1050 PACIFIC COAST HWY
Second Line :
City : HARBOR CITY
State : CA
Zip : 90710-3509
Country : US
Telephone Number : 310-308-7512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2019
Last Update Date : 12/30/2024

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