Provider Demographics
NPI:1295842540
Name:KHAN, SEEMA (MD)
Entity Type:Individual
Prefix:
First Name:SEEMA
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2081 ARENA BLVD
Mailing Address - Street 2:160
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2309
Mailing Address - Country:US
Mailing Address - Phone:916-285-8977
Mailing Address - Fax:916-285-0338
Practice Address - Street 1:1712 PICASSO AVE
Practice Address - Street 2:SUITE: D
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95618-0546
Practice Address - Country:US
Practice Address - Phone:530-297-7500
Practice Address - Fax:530-297-7751
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA871292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry