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Organization
FAHEEM M JUKAKU MD INC
Active
Organization
FAHEEM M JUKAKU MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAHEEM M JUKAKU MD (PRESIDENT)
(951) 232-4856
Entity
Organization
Contact information
Practice address
26520 CACTUS AVE, ROOM NO. B2049, MORENO VALLEY, CA 92555-3927
(951) 232-4856
Mailing address
12318 WINDCHIME PL, APT C, MIRA LOMA, CA 91752-3160
(951) 232-4856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A72490
CA
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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