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Individual

ANAN ADNAN FAIDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
930 N CENTER ST, STOCKTON, CA 95202-1312
(209) 948-3000
(209) 948-3127
Mailing address
930 N CENTER ST, STOCKTON, CA 95202-1312
(209) 948-3000
(209) 948-3127

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A48562
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A485620
CA
Enumeration date
02/16/2006
Last updated
07/28/2008
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