KHAN MOHAMED IKRAM (NPI# 1972790467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972790467 |
| Entity Type | Individual |
| Full Name | KHAN MOHAMED IKRAM |
| Credential | M.D. |
| Practice Address |
1522 E 102nd St Room 142 Los Angeles CA 90002-3338 |
| Practice Telephone | 3235634068 |
| Mailing Telephone | 3235634068 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A29859 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1522 E 102ND ST ROOM 142 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90002-3338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720281439 | Maxine Elois Liggins | Internal Medicine | 1522 E 102nd St, Room 142, Los Angeles, CA 90002-3338 | 2007-06-08 |
| 1144702564 | Lea Marie Tanasale | Student in an Organized Health Care Education/Training Program | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-08-31 |
| 1285113696 | Rosemarie Garcia | Marriage & Family Therapist | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-08-08 |
| 1689171100 | Robin Elaine Leach | Case Manager/Care Coordinator | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-04-11 |
| 1285131805 | Raquel Joan Parker | Case Manager/Care Coordinator | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-04-10 |
| 1801393426 | Ana Lucia Paz | Case Manager/Care Coordinator | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-04-10 |
| 1376040998 | Jennifer Cristina Aquino | Case Manager/Care Coordinator | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-04-10 |
| 1629575600 | Amy Marie Cornwall | Marriage & Family Therapist | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-04-06 |
| 1578076204 | Lucia Isabel Johnson | Marriage & Family Therapist | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2017-11-16 |
| 1245742915 | Gustavo Reyes | Case Manager/Care Coordinator | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2017-11-02 |
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| 1649795246 | Tara Moore | Counselor | 1968 East 103rd Street, Los Angeles, CA 90002 | 2017-08-04 |
| 1689198673 | Yeny Alexandra Guarin | Social Worker | 1776 East Century Blvd, Los Angeles, CA 90002 | 2017-08-01 |
| 1144771452 | Paulette Madrigal | Case Manager/Care Coordinator | 10044 Compton Ave, Los Angeles, CA 90002 | 2016-10-21 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| City | LOS ANGELES |
| Zip Code | 90002 |
Please comment or provide details below to improve the information on KHAN MOHAMED IKRAM.
| 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.