Misbah Khan, PA-C

Individual provider Active NPI Physician Assistant · Kerman, CA

NPI 1134599657 · NPPES record last updated Sep 26, 2015

Key facts

NPI
1134599657
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
52885 (CA)
Practice address
1000 S Madera Ave
Kerman, CA 93630-1750
Phone
(559) 846-9370
NPI assigned
Sep 26, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
52885CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 52885 CA Yes

Addresses

Primary practice location

1000 S Madera Ave
Kerman, CA 93630-1750

Mailing address

5981 E Christine Ave
Fresno, CA 93727-6558
Phone (559) 288-6485

Other providers in Kerman, CA

All providers in Kerman, CA · Physician Assistant in California

Sources for this page

Verify at the official NPI Registry.