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NPI Code Detail

MEDICARE: DR. VICTOR SAMEER MNIARJI MD

MEDICARE: DR. VICTOR SAMEER MNIARJI 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
1207V00000XObstetrics & Gynecology PhysicianA173069CA

General Provider Information

NPI Number : 1629593470
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTOR SAMEER MNIARJI MD
Provider Business Mailing Address
First Line : 1800 WESTERN AVE STE 204
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92411-1353
Country : US
Telephone Number : 909-474-9952
Fax Number :
Provider Business Practice Location Address
First Line : 1800 WESTERN AVE STE 204
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92411-1353
Country : US
Telephone Number : 909-474-9952
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2017
Last Update Date : 04/05/2023

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