Individual
ABDUL KHALIQ ALCOZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 603-7378
Mailing address
45 E RIVER PARK PL W FL 5, FRESNO, CA 93720-1562
(559) 603-7378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A191705
CA
207R00000X
Internal Medicine Physician
Primary
A191705
CA
Other
Enumeration date
06/13/2019
Last updated
02/28/2025
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