Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A055323 | CA |
Y | 208600000X | Surgeon | A055323 | CA |
NPI | 1013970524 |
---|---|
Provider Name | Dr. Naseem Ahmed Attar |
First Address | Riverside, CA 92506-0172 |
Second Address | Riverside, CA 92506-0172 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 07/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G22474 | (02) | CA |