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NPI Code Detail

MEDICARE: KHADIJA SY

MEDICARE: KHADIJA SY
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
1176B00000XMidwife236638CA

General Provider Information

NPI Number : 1780513382
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHADIJA SY
Provider Business Mailing Address
First Line : 31689 BOBCAT WAY
Second Line :
City : CASTAIC
State : CA
Zip : 91384-2503
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 43322 GINGHAM AVE
Second Line :
City : LANCASTER
State : CA
Zip : 93535-4576
Country : US
Telephone Number : 661-874-4050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ KHADIJA SY ” Practice Location

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