Individual
FAHEEM M. JUKAKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7140 INDIANA AVE, RIVERSIDE, CA 92504-4544
(951) 358-6035
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A72490
CA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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