Individual
FARISHTA NAHEBZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2101 TENAYA DR, MODESTO, CA 95354-3930
(209) 722-4842
Mailing address
2801 GREWAL PKWY APT 821, MODESTO, CA 95356-8024
(463) 201-0723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
63595
CA
363AM0700X
Medical Physician Assistant
63595
CA
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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