Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A99485 | CA |
N | 111NI0900X | Internist | A99485 | CA |
Y | 207RC0200X | Critical Care Medicine | A99485 | CA |
N | 207RN0300X | Nephrologist | A99485 | CA |
NPI | 1043414220 |
---|---|
Provider Name | Waqas Aftab |
First Address | Oxnard, CA 93036-0677 |
Second Address | Oxnard, CA 93030-3722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 09/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A994850 | (05) | CA |
A99485 | MEDICAL LICENSE (01) | CA |