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NPI Code Detail

MEDICARE: DR. ALYA ZIA AHMAD M.D.

MEDICARE: DR. ALYA ZIA AHMAD M.D.
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
12084B0040XBehavioral Neurology & Neuropsychiatry PhysicianC55900CA
2208000000XPediatrics PhysicianC55900CA

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 : 1679579726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALYA ZIA AHMAD M.D.
Provider Business Mailing Address
First Line : 2012 19TH ST STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95818-1668
Country : US
Telephone Number : 916-538-6498
Fax Number : 916-498-2457
Provider Business Practice Location Address
First Line : 2012 19TH ST STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95818-1668
Country : US
Telephone Number : 916-538-6498
Fax Number : 916-498-2457
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 10/13/2022

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