Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | A106554 | CA |
N | 208000000X | Pediatrician | MD0000045330 | TN |
N | 2080P0208X | Pediatric Infectious Diseases | A106554 | CA |
NPI | 1336406156 |
---|---|
Provider Name | Fouzia Naeem |
First Address | Madera, CA 93636-8761 |
Second Address | Madera, CA 93636-8761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2012 |
Last Update Date | 18/04/2012 |