Individual
AHMAD CHARIFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 THE CITY DR S DEPT OF, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
101 THE CITY DR S DEPT OF, ORANGE, CA 92868-3201
(714) 456-7890
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A168878
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/09/2015
Last updated
09/23/2020
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