Individual
DR. KOMOLA AZIMOVA SHABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2071 HERNDON AVE, CLOVIS, CA 93611-6101
(512) 650-6550
Mailing address
5319 DUPUY CIR, TEMPLE CITY, CA 91780-3165
(512) 650-6550
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A174548
CA
Other
Enumeration date
05/20/2016
Last updated
10/30/2024
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