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Organization

PEDIATRIC GASTROENTEROLOGY CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMMAD MUSLIM JAMI MD (MANAGER)
(559) 353-5745
Entity
Organization

Contact information

Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-5745
(559) 353-6033
Mailing address
1895 E CASTLEBROOK DR, FRESNO, CA 93730-3456
(559) 353-5745
(559) 353-6033

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
C050493
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
CA
Enumeration date
12/22/2009
Last updated
12/22/2009
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