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NPI Code Detail

MEDICARE: ZEBA FATIMA VANEK MD

MEDICARE:   ZEBA FATIMA VANEK  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
12084N0400XNeurology PhysicianA554444CA
22084N0400XNeurology PhysicianA55444CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043233869
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZEBA FATIMA VANEK MD
Provider Business Mailing Address
First Line : 1805 N CALIFORNIA ST
Second Line :
City : STOCKTON
State : CA
Zip : 95204-6037
Country : US
Telephone Number : 209-645-4005
Fax Number : 209-645-6344
Provider Business Practice Location Address
First Line : 1805 N CALIFORNIA ST STE 201
Second Line :
City : STOCKTON
State : CA
Zip : 95204-6032
Country : US
Telephone Number : 209-645-4005
Fax Number : 209-645-6344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 05/17/2023

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Directions to “ ZEBA FATIMA VANEK MD” Practice Location

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