Individual
FATIMA AWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4610 X ST, SACRAMENTO, CA 95817-2200
(916) 588-5336
Mailing address
4610 X ST, SACRAMENTO, CA 95817-2200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D9802166
CA
390200000X
Student in an Organized Health Care Education/Training Program
D9802166
CA
Other
Enumeration date
06/05/2015
Last updated
12/20/2021
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