Individual
DR. SOHAIL MAMDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
808 IOWA AVE, LOS BANOS, CA 93635-3450
(209) 826-5913
(209) 826-2652
Mailing address
808 IOWA AVE, LOS BANOS, CA 93635-3450
(209) 826-5913
(209) 826-2652
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
272621
NY
208D00000X
General Practice Physician
Primary
A14153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A14153
CA
CA
01
—
272621
LICENSE
NY
Enumeration date
06/30/2011
Last updated
08/03/2020
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