Healthcare Provider Details

I. General information

NPI: 1568869493
Provider Name (Legal Business Name): MYRIAM CHAOUKI FIANKAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2014
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 DUBLIN BLVD STE F538
DUBLIN CA
94568-4592
US

IV. Provider business mailing address

4101 DUBLIN BLVD STE F538
DUBLIN CA
94568-4592
US

V. Phone/Fax

Practice location:
  • Phone: 408-395-8834
  • Fax:
Mailing address:
  • Phone: 408-395-8834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: