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Waliullah Mahmood Khan

Student in an Organized Health Care Education/Training Program in Irvine, CA. Individual provider (NPI-1).

NPI number1386582062
StatusActive
Last updated in NPPESMar 23, 2026

Details

NPI
1386582062
Entity type
Individual (NPI-1)
Name
Waliullah Mahmood Khan
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 23, 2026
Certification date
Mar 23, 2026
Last updated
Mar 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–CAYes

Practice location

7725 Gateway Unit 3373
Irvine, CA 92618-5852

Phone 248-346-2969

Mailing address

7725 Gateway Unit 3373
Irvine, CA 92618-5852

Phone 248-346-2969

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