Organization
MADINA HOUSE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMER SYED RAHEEMULLAH MD (MEDICAL DIRECTOR/PRESIDENT)
(510) 902-7080
Entity
Organization
Contact information
Practice address
43575 MISSION BLVD # 1019, FREMONT, CA 94539-5831
(510) 902-7080
Mailing address
43575 MISSION BLVD # 1019, FREMONT, CA 94539-5831
(510) 902-7080
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/17/2023
Last updated
04/08/2024
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