1619341500 NPI number — AISSATOU HAMAN MD INC

Table of content: (NPI 1619341500)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619341500 NPI number — AISSATOU HAMAN MD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AISSATOU HAMAN MD INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1619341500
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/16/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9030 BRENTWOOD BLVD
Provider Second Line Business Mailing Address:
SUITE C
Provider Business Mailing Address City Name:
BRENTWOOD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94513-4095
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-634-9704
Provider Business Mailing Address Fax Number:
925-243-7551

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 SHRADER ST
Provider Second Line Business Practice Location Address:
SUITE 570
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94117-1016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-867-3054
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/16/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HAMAN
Authorized Official First Name:
AISSATOU
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
415-867-3054

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  A115745 , 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)