Khani, Samina
Khani, Samina is an individual health care provider with primary practice located at 520 N Prospect Ave Ste 103, Redondo Beach CA 90277-3041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Khani, Samina can be contacted via phone (310) 376-8816.Contact Information
Primary practice address
520 N Prospect Ave Ste 103
Redondo Beach CA 90277-3041
Phone: (310) 376-8816
Fax: (310) 374-2806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12062 | Nevada |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C52731 | California |
Profile Details
| NPI number | 1174605133 |
|---|---|
| LBN Legal business name | Khani, Samina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Apr 15th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174605133 | NPPES |
| Nevada | MEDICAID | 100511268 | |
| Nevada | MEDICAID | 100500484 GROUP |
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