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Contact Information

PROTIVA S KHAN, OD
5192 HOSPITAL ROAD
MARIPOSA, CA95338
 Phone: 209-742-6144
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for PROTIVA S KHAN · (Female)

NPI Number 1902327240
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/27/2017
Last updated 11/01/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 34680
  • NY License # TUV008592-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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