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Organization
SACRAMENTO PEDIATRIC ENDOCRINE AND DIABETES MEDICAL CLINIC INC
Active
Organization
SACRAMENTO PEDIATRIC ENDOCRINE AND DIABETES MEDICAL CLINIC INC
Active
Other names
BAGHER M SHEIKHOLISLAM, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BAGHER M SHEIKHOLISLAM MD (OWNER)
(916) 733-6006
Entity
Organization
Contact information
Practice address
5301 F ST, SUITE 209, SACRAMENTO, CA 95819-3226
(916) 733-6006
(916) 454-1446
Mailing address
5301 F ST, SUITE 209, SACRAMENTO, CA 95819-3226
(916) 733-6006
(916) 454-1446
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A23623
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A23623
LICENSE NUMBER
CA
Enumeration date
09/25/2006
Last updated
08/22/2020
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