Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | A122660 | CA |
NPI | 1093004988 |
---|---|
Provider Name | Dr. Samia Abdul Ghaffar |
First Address | Fresno, CA 93721-1431 |
Second Address | Fresno, CA 93720-1565 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2011 |
Last Update Date | 07/11/2019 |