MEDICARE: AFSHAN F. KHAN

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
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1851633770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFSHAN F. KHAN

Provider Business Mailing Address
First Line	:	114 EL SUENO RD
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93110-1045
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 EL SUENO RD
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93110-1045
Country	:	US
Telephone Number	:	805-617-4940
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AFSHAN F KHAN
Credential	:
Telephone Number	:	805-617-4940

Provider Enumeration Date	:	03/18/2013
Last Update Date	:	03/18/2013

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