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NPI 1588364525

NPI 1588364525 : KASHIF AHMED ZUBERI, MD, A PROFESSIONAL CORPORATION : LAKEWOOD, CA

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General NPI Number Information
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    NPI Number           |    1588364525
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    Entity Type          |    Organization 
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    Legal Business Name  |    KASHIF AHMED ZUBERI, MD, A PROFESSIONAL CORPORATION 
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Dates
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    Enumeration Date     |    03/08/2023
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    Last Update Date     |    03/08/2023
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Provider Practice Location Address
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    Address Line         |    3510 EAST SOUTH STREET 
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    City                 |    LAKEWOOD
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    State                |    CA
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    Zip                  |    90712
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    Country              |    US
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    Telephone            |    951-268-0207
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2517 CHAD ZELLER LN 
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    City                 |    CORONA
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    State                |    CA
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    Zip                  |    92882-8051
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    Country              |    US
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    Telephone            |    667-216-0261
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     KASHIF AHMED ZUBERI 
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    Credential           |    MBBCH BAO LRCPSI
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    Telephone            |    667-216-0261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    
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    License Number State |    
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