Individual
GHULAM MOHEYUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
930 SUNNYSLOPE RD STE A2, HOLLISTER, CA 95023-5616
(831) 637-3766
(831) 637-3679
Mailing address
930 SUNNYSLOPE RD STE A2, HOLLISTER, CA 95023-5616
(831) 637-3766
(831) 637-3679
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A26231
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A262310
—
CA
Enumeration date
08/21/2006
Last updated
07/08/2007
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