Most Relevant Information
Provider Data
| NPI Number: | 1003546284 |
| Provider Name: | SMAH KHATEEB |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/12/2022 |
| Last Updated: | 06/12/2022 |
Provider Practice Location
8002 BRITTANY DR
DUBLIN
CA
945683501
Practice Location Phone/Fax
| Phone: | 5105522015 |
| Fax: |
Provider Mailing Location
8002 BRITTANY DR
DUBLIN
CA
945683501
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |