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NPI Code Detail

MEDICARE: PERVAIZ CHANNAH AND ASSOCIATES

MEDICARE: PERVAIZ CHANNAH AND ASSOCIATES
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
1207R00000XInternal Medicine PhysicianA053353CA

General Provider Information

NPI Number : 1972702231
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERVAIZ CHANNAH AND ASSOCIATES
Provider Business Mailing Address
First Line : 25109 JEFFERSON AVENUE
Second Line : STE 105
City : MURRIETA
State : CA
Zip : 92562-5857
Country : US
Telephone Number : 951-698-5765
Fax Number : 951-698-0254
Provider Business Practice Location Address
First Line : 25109 JEFFERSON AVE STE 105
Second Line :
City : MURRIETA
State : CA
Zip : 92562-8117
Country : US
Telephone Number : 951-698-5765
Fax Number : 951-698-0254
Authorized Official
Title or Position : OWNER
Name : DR. PERVAIZ CHANNAH
Credential : M.D.
Telephone Number : 951-698-5765
Provider Enumeration Date : 07/16/2007
Last Update Date : 07/21/2022

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Directions to “PERVAIZ CHANNAH AND ASSOCIATES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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