NAMITA MOHIDEEN MD INC NPI 1649546144

NPI Information

NPI: 1649546144
Provider Name: NAMITA MOHIDEEN MD INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
16465 SIERRA LAKES PKWY
SUITE 275
FONTANA, CA
ZIP 92336
Phone: (909) 823-8000
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NAMITA MOHIDEEN MD INC is a primary care clinic center in Fontana, CA. NAMITA MOHIDEEN MD INC NPI is 1649546144. The provider is registered as an organization entity type.

The provider's business location address is:

16465 SIERRA LAKES PKWY
SUITE 275
FONTANA, CA
ZIP 92336-242
Phone: (909) 823-8000
Fax: (909) 823-8088

The provider's authorized official is Namita Pandiri Mohideen .
The authorized official title is Doctor and has the following contact phone number (909) 823-8000.

The enumeration date for this NPI number is 3/29/2012 and was last updated on 3/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A55769	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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