Individual
NILUFAR MABOUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
651 FULTON AVE, SACRAMENTO, CA 95825-4813
(916) 483-2525
Mailing address
651 FULTON AVE, SACRAMENTO, CA 95825-4813
(916) 483-2525
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A068743
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M180039877
RAIL ROAD MEDICARE
—
Enumeration date
02/23/2007
Last updated
01/30/2012
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