Individual
ZEENAT RUBAB HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8220 WYMARK DR STE 200, ELK GROVE, CA 95757-6298
(916) 667-0600
(916) 683-0232
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(916) 861-1486
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A12197
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A121972
MEDICAL STATE LICENSE
CA
Enumeration date
05/14/2007
Last updated
03/16/2020
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