Individual
AKBAR MOHMMAD SHUJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34274 MIMOSA TER, FREMONT, CA 94555-1809
(408) 591-6695
Mailing address
34274 MIMOSA TER, FREMONT, CA 94555-1809
(408) 591-6695
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18160632
KAISER
CA
Enumeration date
04/02/2019
Last updated
04/02/2019
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