Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A116192 | CA |
Y | 111NI0900X | Internist | A116192 | CA |
NPI | 1003183179 |
---|---|
Provider Name | Ms. Samira Yasmeen Ahmed |
First Address | San Francisco, CA 94132-2209 |
Second Address | Oakland, CA 94602-1018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2011 |
Last Update Date | 17/11/2011 |