Protiva Shooprova Khan, OD
Optometrist in Mariposa, CA. Individual provider (NPI-1).
NPI number1902327240
StatusActive
Last updated in NPPESAug 5, 2026
Details
- NPI
- 1902327240
- Entity type
- Individual (NPI-1)
- Name
- Protiva Shooprova Khan
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2017
- Certification date
- Aug 5, 2026
- Last updated
- Aug 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 34680 | CA | Yes |
| 152W00000X | Optometrist | TUV008592-1 | NY |
Practice location
5192 Hospital RoadMariposa, CA 95338
Phone 209-742-6144
Mailing address
2912 Willowbrook Dr Apt 3Merced, CA 95348-1301
Phone 213-820-6350
Other practice locations
708 W 20th St Ste A
Merced, CA 95340-3697
Merced, CA 95340-3697
Phone 209-384-2335
1650 Selwyn Ave Apt 1c
Bronx, NY 10457-7628
Bronx, NY 10457-7628
Phone 718-960-2041
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