Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A149838 | CA |
NPI | 1154631273 |
---|---|
Provider Name | Dr. Hussein Ahmed Warda |
First Address | Sacramento, CA 95817 |
Second Address | Sacramento, CA 95817-2307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2010 |
Last Update Date | 14/02/2018 |