Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | G75855 | CA |
Y | 208600000X | Surgeon | G75855 | CA |
NPI | 1023098266 |
---|---|
Provider Name | Karim Zahriya |
First Address | Delano, CA 93215-3639 |
Second Address | Delano, CA 93215-3639 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F66971 | (02) | CA |