Healthcare Provider Details

I. General information

NPI: 1275611436
Provider Name (Legal Business Name): SUHAIB ADIL ZANIAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 11/22/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 Q ST SUITE 100
BAKERSFIELD CA
93301-1657
US

IV. Provider business mailing address

3551 Q ST SUITE 100
BAKERSFIELD CA
93301-1657
US

V. Phone/Fax

Practice location:
  • Phone: 661-327-3747
  • Fax: 661-616-3237
Mailing address:
  • Phone: 661-327-3747
  • Fax: 661-616-3237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA80519
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: