MEDICARE: DR. SUBHA AAHLAD 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
1	208000000X	Pediatrics Physician	A50976	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A509760	OTHER	CA	MEDI-CAL

General Provider Information

NPI Number	:	1780610253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUBHA AAHLAD M.D.

Provider Business Mailing Address
First Line	:	1295 E HILLSDALE BLVD
Second Line	:
City	:	FOSTER CITY
State	:	CA
Zip	:	94404-1214
Country	:	US
Telephone Number	:	650-574-2774
Fax Number	:	650-341-9236

Provider Business Practice Location Address
First Line	:	1295 E HILLSDALE BLVD
Second Line	:
City	:	FOSTER CITY
State	:	CA
Zip	:	94404-1214
Country	:	US
Telephone Number	:	650-574-2774
Fax Number	:	650-341-9236

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

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	09/01/2022

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