Individual
DR. ABDUL MALIK DREDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6511 COYLE AVE, CARMICHAEL, CA 95608-0306
(916) 863-8700
(916) 961-9016
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A133687
CA
2085R0202X
Diagnostic Radiology Physician
MD60754557
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467714782
—
WA
01
—
A133687
MEDICAL LICENSE
CA
Enumeration date
06/12/2012
Last updated
02/04/2020
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