Healthcare Provider Details

I. General information

NPI: 1356099592
Provider Name (Legal Business Name): MINAHAL NAVEED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2022
Last Update Date: 10/13/2024
Certification Date: 10/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 X ST # G0140
SACRAMENTO CA
95817-2229
US

IV. Provider business mailing address

4501 X ST # G0140
SACRAMENTO CA
95817-2229
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-8688
  • Fax: 916-703-5069
Mailing address:
  • Phone: 916-734-8688
  • Fax: 916-703-5069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number57.255243
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberA197979
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: