Individual provider · NPI-1

Waqar Arshad Khan, MD

Family Medicine · El Centro, CA

NPI number1386727485
StatusActive
Last updated in NPPESJul 17, 2014

Details

NPI
1386727485
Entity type
Individual (NPI-1)
Name
Waqar Arshad Khan
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 23, 2006
Last updated
Jul 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineC55766CAYes
207Q00000X Family Medicine24192WI
207Q00000X Family Medicine036.119080IL

Practice location

1600 S Imperial Ave Ste 1
El Centro, CA 92243-4242

Phone 619-962-9620

Mailing address

1600 S Imperial Ave Ste 1
El Centro, CA 92243-4242

Phone 619-962-9620

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