Protiva Shooprova Khan, OD

NPI #1902327240 in Mariposa, California

Provider Information

NPI Number: 1902327240
Entity Type: Individual
Name: Protiva Shooprova Khan, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 27, 2017
Last Updated: Nov 1, 2021

Practice Location

Address: 5192 HOSPITAL ROAD
City: Mariposa
State: California
ZIP Code: 95338
Phone: (209) 742-6144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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