Keka Amin Mostofa M.D.

NPI 1740591650 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1740591650
Gender Female
Enumeration Date 06/24/2010
Last Updated 10/02/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
1650 CREEKSIDE DR
FOLSOM CA, 95630-3400, US
Phone (916) 986-4426
Fax (916) 986-4434
Business Location
3400 DATA DR
PHYSICIAN SUPPORT SERVICES
RANCHO CORDOVA CA, 95670-7956, US
Phone (916) 379-2948
Fax (916) 858-7065
Toxanomy
Taxonomy Code 390200000X
License State DO Columbia
License Number 186191
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According to our database, Keka Amin Mostofa M.D. NPI is 1740591650, taxonomy code is 390200000X and license number is 186191, license state is located at DO Columbia. Keka Amin Mostofa M.D. physically located at 1650 Creekside Dr, Folsom CA, 95630-3400. NPI Number Keka Amin Mostofa M.D. has the Individual type.

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1740591650 NPI number is provided on an as is basis without warranty of any kind. 1740591650 is maintained by the National Plan & Provider Enumeration System. The contents of Keka Amin Mostofa M.D. are for informational purposes only.