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Khadeer Khan, MSN,DNP,FNP,PMHNP
Psychiatric/Mental Health Nurse Practitioner in Gardena, California
NPI 1588964456

Khadeer Khan is a Psychiatric/Mental Health Nurse Practitioner based in Redondo Beach, CA and is specialized in Psychiatric/Mental Health. Khadeer Khan practices in Gardena, CA and has the professional credentials of MSN,DNP,FNP,PMHNP. The NPI Number for Khadeer Khan is 1588964456 and holds a License No. 19864 (California).

The current practice location address for Khadeer Khan is 1875 W Redondo Beach Blvd Ste 308, Gardena, CA and can be reached out via phone at 310-387-2054 and via fax at 310-362-3598.

Location: 1875 W Redondo Beach Blvd Ste 308, Gardena, CA, 90278-5309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588964456
Provider Name
Khadeer Khan
Credential
MSN,DNP,FNP,PMHNP
Provider Entity Type
Individual
Gender
Male
Address
1875 W Redondo Beach Blvd Ste 308, Gardena, CA, 90278-5309
Phone Number
310-387-2054
Fax Number
310-362-3598
Provider Enumeration Date
10/26/2010
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
195UT0EB 05 CA
institution
Provider Business Practice Location Address Details
Address
1875 W Redondo Beach Blvd Ste 308
City
Gardena
State
California
Zip
90247-3644
Phone Number
310-387-2054
Fax Number
310-362-3598
person
Provider Business Mailing Address Details
Address
1875 W Redondo Beach Blvd Ste 308
City
Gardena
State
California
Zip
90247-3644
Phone Number
310-387-2054
Fax Number
310-362-3598
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
19864 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
19864 (California)
Definition
Definition to come...
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