Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 20A9229 | CA |
N | 208600000X | Surgeon | 20A9229 | CA |
Y | 2086S0129X | Vascular Surgeon | 20A9229 | CA |
NPI | 1144292251 |
---|---|
Provider Name | Sheikh Altaf Latif |
First Address | Hanford, CA 93230 |
Second Address | Las Cruces, NM 88011-8260 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 18/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I44734 | (02) | |
I44734 | (02) | CA |