Provider Demographics
NPI:1346367570
Name:KHALIQI, MUSA (MD)
Entity Type:Individual
Prefix:DR
First Name:MUSA
Middle Name:
Last Name:KHALIQI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1660 E HERNDON AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3346
Mailing Address - Country:US
Mailing Address - Phone:775-770-6490
Mailing Address - Fax:775-770-3944
Practice Address - Street 1:1660 E HERNDON AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3346
Practice Address - Country:US
Practice Address - Phone:559-424-0610
Practice Address - Fax:559-424-0611
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV13252207R00000X, 208M00000X
CAA127146207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist