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Dr. Nicole M Khadavi, MD
Student in an Organized Health Care Education/Training Program in Loma Linda, California
NPI 1467745851

Nicole M Khadavi is a Student in an Organized Health Care Education/Training Program based in Loma Linda, CA. Nicole M Khadavi practices in Loma Linda, CA and has the professional credentials of MD. The NPI Number for Nicole M Khadavi is 1467745851 and holds a License No. (California).

The current practice location address for Nicole M Khadavi is 11234 Anderson St, Loma Linda, CA and can be reached out via phone at 818-621-8585.

Location: 11234 Anderson St, Loma Linda, CA, 92354-2804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467745851
Provider Name
Nicole M Khadavi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11234 Anderson St, Loma Linda, CA, 92354-2804
Phone Number
818-621-8585
Fax Number
Provider Enumeration Date
05/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
818-621-8585
Fax Number
person
Provider Business Mailing Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
818-621-8585
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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