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Individual

PARVIN NEJATMAHMOODALILOO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6032
Mailing address
PO BOX 1020, STOCKTON, CA 95201-3120
(209) 468-6032

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.078670
IL
208M00000X
Hospitalist Physician
Primary
A187965
CA
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
06/06/2021
Last updated
09/03/2024
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