Individual
EDRIS M AFZALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13855 E 14TH ST, SAN LEANDRO, CA 94578-2611
(510) 667-4545
Mailing address
PO BOX 26606, SAN FRANCISCO, CA 94126-6606
(510) 545-3737
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301095205
MI
207P00000X
Emergency Medicine Physician
Primary
A124640
CA
208M00000X
Hospitalist Physician
4301095205
MI
Other
Enumeration date
07/03/2009
Last updated
04/02/2013
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