Healthcare Provider Details

I. General information

NPI: 1083628473
Provider Name (Legal Business Name): YASMIN HYDER CARIM M.D,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 03/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22290 FOOTHILL BLVD SUITE 1
HAYWARD CA
94541-2731
US

IV. Provider business mailing address

22290 FOOTHILL BLVD SUITE 1
HAYWARD CA
94541-2731
US

V. Phone/Fax

Practice location:
  • Phone: 510-581-1446
  • Fax: 510-581-1805
Mailing address:
  • Phone: 510-581-1446
  • Fax: 510-581-1805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG073075
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: