Individual ProviderUzma A KhanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1225 15th St, A454, Santa Monica, CA 90404-1101(310) 319-4698(310) 267-9643PECOS EnrollmentThis provider is enrolled in PECOS as UZMA KHAN.Based on the most recent information from CMS, provider Uzma A Khan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1194989418Provider TypeIndividualFull NameKhan, Uzma ACredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date7/16/2008Last Updated12/3/2021Contact InformationPractice LocationPractice Address1225 15th St, A454, Santa Monica, CA 90404-1101Phone(310) 319-4698Fax(310) 319-4908Mailing LocationMailing Address757 Westwood Plz, 7501, Los Angeles, CA 90095-0001Phone(310) 267-9643Fax(310) 267-3840Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA100425CaliforniaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseA100425CaliforniaProvider IdentifiersIDDescriptionIssuerID1194989418DescriptionMedicaidIssuerUnlistedCalifornia