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NPI Code Detail

MEDICARE: EMAD ABU-KHIERAN MD

MEDICARE: EMAD ABU-KHIERAN 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
1207R00000XInternal Medicine Physician166626WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558314237
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMAD ABU-KHIERAN MD
Provider Business Mailing Address
First Line : 1601 PRECISION PARK LN
Second Line :
City : SAN DIEGO
State : CA
Zip : 92173-1345
Country : US
Telephone Number : 619-662-4100
Fax Number :
Provider Business Practice Location Address
First Line : 1840 WEST DR
Second Line :
City : VISTA
State : CA
Zip : 92083-6115
Country : US
Telephone Number : 619-205-4585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 06/30/2025

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Directions to “ EMAD ABU-KHIERAN MD” Practice Location

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