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NPI Code Detail

MEDICARE: FATIMA A GAUHAR MD

MEDICARE: FATIMA A GAUHAR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA86048CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11730180415OTHERGROUP NPI

General Provider Information

NPI Number : 1619959517
Entity Type Code : Individual
Provider Name (Legal Business Name) : FATIMA A GAUHAR MD
Provider Business Mailing Address
First Line : 21634 RETREAT PKWY
Second Line :
City : CORONA
State : CA
Zip : 92883-6100
Country : US
Telephone Number : 951-493-6910
Fax Number : 951-826-8135
Provider Business Practice Location Address
First Line : 21634 RETREAT PKWY
Second Line :
City : CORONA
State : CA
Zip : 92883-6100
Country : US
Telephone Number : 951-493-6910
Fax Number : 951-826-8135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 04/14/2025

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Directions to “ FATIMA A GAUHAR MD” Practice Location

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