Individual
AHMED ISAM GARIEBALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-5039
Mailing address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-5039
(510) 535-7313
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A192700
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/22/2021
Last updated
06/17/2024
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