Provider Demographics
NPI:1881999373
Name:KHASHWJI, HASANALI ZULFIQAR (MD)
Entity type:Individual
Prefix:DR
First Name:HASANALI
Middle Name:ZULFIQAR
Last Name:KHASHWJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HASAN
Other - Middle Name:
Other - Last Name:KHASHWJI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5216 W BORDEAUX CT
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-9008
Mailing Address - Country:US
Mailing Address - Phone:949-933-2277
Mailing Address - Fax:
Practice Address - Street 1:4405 VANDEVER AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-3315
Practice Address - Country:US
Practice Address - Phone:619-629-8786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-14
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA156212208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA390200000XOtherSTUDENT