Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A66640 | CA |
Y | 111NI0900X | Internist | A66640 | CA |
N | 207RG0300X | Geriatric Medicine | A66640 | CA |
NPI | 1144329038 |
---|---|
Provider Name | Parvez Razzaque Memon |
First Address | Bakersfield, CA 93301-2284 |
Second Address | Bakersfield, CA 93301-2284 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 20/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G87669 | (02) |