Individual
DR. ASIF IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10683 MAGNOLIA AVE STE B, RIVERSIDE, CA 92505-1893
(951) 351-4026
(951) 351-9982
Mailing address
10683 MAGNOLIA AVE STE B, RIVERSIDE, CA 92505-1893
(951) 351-4026
(951) 351-9982
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
A35776
CA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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