Individual
SAIF ASHFAQ GHOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4601 DALE RD, SUITE 4A5 - KAISER MODESTO DEPARTMENT OF SURGERY, MODESTO, CA 95356-9718
(209) 735-5000
Mailing address
4601 DALE RD, SUITE 4A5 - KAISER MODESTO DEPARTMENT OF SURGERY, MODESTO, CA 95356-9718
(209) 735-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A92081
CA
Other
Enumeration date
06/20/2007
Last updated
12/13/2021
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