Sanadiki, Khaled Ahmad

Sanadiki, Khaled Ahmad is an sole proprietor health care provider with primary practice located at 16850 Bear Valley Rd , Victorville CA 92395-5794. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Sanadiki, Khaled Ahmad can be contacted via phone (760) 241-8000.

Contact Information

Primary practice address
16850 Bear Valley Rd Victorville CA 92395-5794
Phone: (760) 241-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A34839 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A34839 California

Profile Details

NPI number 1821019449
LBN Legal business name Sanadiki, Khaled Ahmad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Jan 30th, 2013 - about 13 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 1821019449 NPPES
California MEDICAID 00A348390
California Other P00192634

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