Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | A92595 | CA |
NPI | 1609062371 |
---|---|
Provider Name | Dr. Ahmed A Zaza |
First Address | Bakersfield, CA 93311-2017 |
Second Address | Bakersfield, CA 93311-2017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2007 |
Last Update Date | 17/09/2007 |