Khasimuddin, Syed A

Khasimuddin, Syed A is an individual health care provider with primary practice located at 632 W Gibson Rd , Woodland CA 95695-5169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khasimuddin, Syed A can be contacted via phone (530) 662-3961.

Contact Information

Primary practice address
632 W Gibson Rd Woodland CA 95695-5169
Phone: (530) 662-3961
Fax: (530) 756-5817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A87340 California

Profile Details

NPI number 1720008212
LBN Legal business name Khasimuddin, Syed A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 16th, 2009 - about 17 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 1720008212 NPPES
California Other 00A873400 BLUE SHIELD
California MEDICAID 00A873400 BLUE SHIELD
California Other P00284490 BLUE SHIELD

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