Mujtaba Khan
Dentist, Endodontics in Visalia, CA. Individual provider (NPI-1).
NPI number1093260366
StatusActive
Last updated in NPPESOct 28, 2026
Details
- NPI
- 1093260366
- Entity type
- Individual (NPI-1)
- Name
- Mujtaba Khan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2016
- Certification date
- Oct 28, 2026
- Last updated
- Oct 28, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | 104675 | CA | Yes |
| 122300000X | Dentist | 1001454-15 | WI | |
| 122300000X | Dentist | 12012588A | IN |
Practice location
3206 N Dinuba Blvd Ste FVisalia, CA 93291-8730
Phone 559-334-2013 · Fax 682-978-5310
Mailing address
3206 N Dinuba Blvd Ste FVisalia, CA 93291-8730
Phone 559-334-2013 · Fax 682-978-5310
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Other Endodontics providers in Visalia, CA
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- Adelheid Nerisa Limansubroto, DDSNPI 1134737836
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- Salehi & Jahan Dental PartnershipNPI 1437819588
- Alan Sproles, DDSNPI 1083865745
All 7 Endodontics providers in Visalia · All 5,100 providers in Visalia
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