Healthcare Provider Details

I. General information

NPI: 1366266512
Provider Name (Legal Business Name): SAIMA IMRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5375 DASCO WAY
SACRAMENTO CA
95835-1728
US

IV. Provider business mailing address

5375 DASCO WAY
SACRAMENTO CA
95835-1728
US

V. Phone/Fax

Practice location:
  • Phone: 916-459-8837
  • Fax:
Mailing address:
  • Phone: 916-459-8837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341800000X
TaxonomyMilitary/U.S. Coast Guard Transport
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: