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Organization
UNAIZA HAYAT, MD INC
Active
Organization
UNAIZA HAYAT, MD INC
Active
Other names
Avecinia Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLETTE VAQUILAR (INSURANCE SPECIALIST)
(559) 323-4990
Entity
Organization
Contact information
Practice address
2006 SHAW AVE, CLOVIS, CA 93611-4192
(559) 324-9900
(559) 324-9902
Mailing address
2006 SHAW AVE, CLOVIS, CA 93611-4192
(559) 324-9900
(559) 324-9902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C54515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA140163
MEDICARE PTAN
CA
Enumeration date
09/09/2015
Last updated
09/09/2015
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