Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | LL2943 | NV |
N | 111NI0900X | Internist | LL2943 | NV |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A161681 | CA |
NPI | 1083901961 |
---|---|
Provider Name | Ali Hamraz |
First Address | Walnut Creek, CA 94598-2512 |
Second Address | Walnut Creek, CA 94598-2512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2011 |
Last Update Date | 04/01/2022 |