Organization
WISEMD
Active
Other names
WiseCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TABISH AFTAB NAZ MD (CEO/PRESIDENT)
(516) 467-9393
Entity
Organization
Contact information
Practice address
1111 W 4TH ST, MADERA, CA 93637-4474
(516) 467-9393
Mailing address
1111 W 4TH ST, MADERA, CA 93637-4474
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A184152
CALIFORNIA STATE LICENSE
CA
Enumeration date
04/25/2023
Last updated
11/16/2024
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