SUMERRA KHAN (NPI# 1154731818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154731818 |
| Entity Type | Individual |
| Full Name | SUMERRA KHAN |
| Credential | D.O. |
| Practice Address |
401 Paradise Rd Ste E Modesto CA 95351-3163 |
| Mailing Address |
401 Paradise Rd Modesto CA 95351-3163 |
| Practice Telephone | 2095584000 |
| Enumeration Date | 2014-05-04 |
| Last Update Date | 2014-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
401 PARADISE RD STE E |
| City | MODESTO |
| State | CA |
| Zip Code | 95351-3163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750395083 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 401 Paradise Rd, Modesto, CA 95351-3163 | 2006-07-29 |
| 1457813610 | Long Hoang Dang | Student in an Organized Health Care Education/Training Program | 401 Paradise Rd, Modesto, CA 95351-3163 | 2019-04-04 |
| 1780140285 | Vu Nguyen | Pharmacist | 401 Paradise Rd, Modesto, CA 95351-3163 | 2019-02-20 |
| 1801377494 | Monica Garcia | Pharmacist | 401 Paradise Rd, Modesto, CA 95351-3163 | 2018-08-22 |
| 1649625146 | Rizwana Mollah | Student in an Organized Health Care Education/Training Program | 401 Paradise Rd, Ste E, Modesto, CA 95351-3163 | 2016-05-03 |
| 1912388406 | Amandeep Kaur Singh | Student in an Organized Health Care Education/Training Program | 401 Paradise Rd, Site E, Modesto, CA 95351-3163 | 2015-06-10 |
| 1750796371 | Alexander Phan | Family Medicine | 401 Paradise Rd, Suite E, Modesto, CA 95351-3163 | 2014-06-23 |
| 1770928723 | Center for Human Services | Community/Behavioral Health | 401 Paradise Rd, Modesto, CA 95351-3163 | 2013-05-03 |
| 1457628034 | Marry Tran | Pharmacist | 401 Paradise Rd, Modesto, CA 95351-3163 | 2011-11-25 |
| 1336435817 | Patricio Clavecillas Jr. | Student in an Organized Health Care Education/Training Program | 401 Paradise Rd, Suite E, Modesto, CA 95351-3163 | 2011-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| Find all providers in zip 95351 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168219 | Kourosh Mehrazar | Student in an Organized Health Care Education/Training Program | 1405 Villette Ct, Modesto, CA 95356-8904 | 2019-05-02 |
| 1609439793 | Sylvia Margarita Castro | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave # 102, Modesto, CA 95350-4404 | 2019-04-15 |
| 1427518422 | Maham Rehman | Student in an Organized Health Care Education/Training Program | 2301 Powell Dr Apt 3, Modesto, CA 95350-1875 | 2019-03-25 |
| 1609334929 | Yaira Denis Aguilar | Student in an Organized Health Care Education/Training Program | 2000 W Briggsmore Ave # Stii, Modesto, CA 95350-3839 | 2019-03-05 |
| 1346727922 | Jorge Anguiano | Student in an Organized Health Care Education/Training Program | 821 Crippen Ave, Modesto, CA 95351-7700 | 2018-07-26 |
| 1740796648 | Paloma Angelica Parra | Student in an Organized Health Care Education/Training Program | 1400 K St Ste I, Modesto, CA 95354-1018 | 2017-12-15 |
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1326575002 | Rim Amare Gebremariam | Student in an Organized Health Care Education/Training Program | 1400 Florida Ave Ste 200, Modesto, CA 95350-4445 | 2017-05-12 |
| 1023557543 | Jasmine Dominique Brooks | Student in an Organized Health Care Education/Training Program | 2521 Pescadero Pl, Modesto, CA 95355-3439 | 2017-02-16 |
| 1225408412 | Raman Benjamin | Student in an Organized Health Care Education/Training Program | 2800 Wind River Ct, Modesto, CA 95356-9383 | 2015-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.