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Individual

DR. ABBAS KASHANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1234 E NORTH ST, SUITE # 202, MANTECA, CA 95336-4960
(209) 239-5665
(209) 239-5285
Mailing address
1234 E NORTH ST, SUITE # 202, MANTECA, CA 95336-4960
(209) 239-5665
(209) 239-5285

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
203671
NY
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
A82220
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
264114805
TAX ID
CA
Enumeration date
05/01/2006
Last updated
09/17/2012
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