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Individual
DR. MUHAMMAD J MEMON
Active
Individual
DR. MUHAMMAD J MEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A66225
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A662250
—
CA
01
—
05D0893384
CLIA #
CA
01
—
207Q00000X
TAXED ID
CA
01
—
54220ZZZ03316Z
BLUE SHIELD ID
CA
01
—
A66225
MEDICAL LIC
CA
01
—
DB6816
UNIQ SUPPL ID
CA
Enumeration date
11/09/2006
Last updated
07/08/2007
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