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Individual
MD ASADUZZAMAN
Active
Individual
MD ASADUZZAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A66840
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A66840
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W19902
MEDICARE GROUP PTAN
CA
01
—
WA66840D
MEDICARE PPIN
CA
01
—
WA66840E
MEDICARE PPIN
CA
Enumeration date
02/28/2006
Last updated
09/18/2007
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