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SARA SAMAN FAHEEM MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1588026082

Individual Registrant:
 SARA SAMAN FAHEEM MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1820 41ST AVE STE D  CAPITOLA, CA 95010-2516 US
Tel: 831-476-3000  Fax: 831-476-9009

Contact information for business:
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT RANCHO CORDOVA, CA 95670-7956 US
Tel: --  Fax: --

Registration Information:
NPI: 1588026082
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
CAA158536

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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