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Organization

SHIFA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ENAYATULLAH NIAZI MD (CEO)
(916) 612-8389
Entity
Organization

Contact information

Practice address
8725 GLADIOLA WAY, ELK GROVE, CA 95624-3843
(916) 612-8389
Mailing address
7275 E SOUTHGATE DR STE 102, SACRAMENTO, CA 95823-2610

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
11/01/2023
Last updated
12/15/2023
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