Khairullah, Nazifah

Khairullah, Nazifah is an individual health care provider with primary practice located at 2055 Lincoln Ave , Pasadena CA 91103-1324. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Khairullah, Nazifah can be contacted via phone (626) 488-8728.

Contact Information

Primary practice address
2055 Lincoln Ave Pasadena CA 91103-1324
Phone: (626) 488-8728
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA07450100 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C142450 California

Profile Details

NPI number 1659363562
LBN Legal business name Khairullah, Nazifah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Dec 27th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659363562 NPPES
New Jersey MEDICAID 8971307

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