Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | A100882 | CA |
Y | 207R00000X | Internist | A100882 | CA |
Y | 111NI0900X | Internist | A100882 | CA |
NPI | 1316981905 |
---|---|
Provider Name | Dr. Syeda Rubina Inamdar |
First Address | Sacramento, CA 95816-7058 |
Second Address | Sacramento, CA 95816-7058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 16/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
06003829 | (05) | MN |
A100882 | MEDICAL STATE LICENSE (01) | CA |
H25024 | (02) | MS |