1144329038 NPI number — PARVEZ RAZZAQUE MEMON MD

Table of content: PARVEZ RAZZAQUE MEMON MD (NPI 1144329038)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144329038 NPI number — PARVEZ RAZZAQUE MEMON MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MEMON
Provider First Name:
PARVEZ
Provider Middle Name:
RAZZAQUE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144329038
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/20/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3838 SAN DIMAS ST
Provider Second Line Business Mailing Address:
BUILDING B SUITE 111
Provider Business Mailing Address City Name:
BAKERSFIELD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93301-2284
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-616-1030
Provider Business Mailing Address Fax Number:
661-616-3237

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3838 SAN DIMAS ST
Provider Second Line Business Practice Location Address:
BUILDING B SUITE 111
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-2284
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-616-1030
Provider Business Practice Location Address Fax Number:
661-716-5484
Provider Enumeration Date:
09/21/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0300X , with the licence number:  A66640 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208M00000X , with the licence number: A66640 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: A66640 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)