Individual
ISRAA QASIM POULLATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
97436254F84077
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97436254F84077
MEDICAL
CA
Enumeration date
05/05/2014
Last updated
05/05/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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