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NPI Code Detail

MEDICARE: MS. TASNIM AAMIR KHAN MD

MEDICARE: MS. TASNIM AAMIR KHAN 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 Physician55560CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CA294038OTHERCAMEDICARE PTAN

General Provider Information

NPI Number : 1740277227
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TASNIM AAMIR KHAN MD
Provider Business Mailing Address
First Line : 2012 19TH ST STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95818-1668
Country : US
Telephone Number : 916-956-3330
Fax Number : 916-898-2457
Provider Business Practice Location Address
First Line : 2012 19TH ST STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95818-1668
Country : US
Telephone Number : 916-538-6498
Fax Number : 916-898-2457
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 02/21/2023

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