MEDICARE: DR. FOUZIA ANWAR AFTAB MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A88359	CA

General Provider Information

NPI Number	:	1013938109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FOUZIA ANWAR AFTAB MD

Provider Business Mailing Address
First Line	:	6250 TELEGRAPH RD
Second Line	:	#1305
City	:	VENTURA
State	:	CA
Zip	:	93003-4328
Country	:	US
Telephone Number	:	201-925-4406
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 S WELLS RD
Second Line	:	SUITE 100 CLINICAS DEL CAMINO REAL INC
City	:	VENTURA
State	:	CA
Zip	:	93004-1377
Country	:	US
Telephone Number	:	805-659-1740
Fax Number	:	805-659-9959

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	01/10/2022

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