Individual
CYRUS BUHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2333 N CALIFORNIA ST, STOCKTON, CA 95204-5530
(209) 464-2806
(209) 464-1647
Mailing address
2800 N CALIFORNIA ST, SUITE 14A, STOCKTON, CA 95204-3757
(209) 942-1005
(209) 942-0455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A1923
CA
207RC0000X
Cardiovascular Disease Physician
20A1923
CA
207RI0011X
Interventional Cardiology Physician
Primary
20A9123
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20A1923
—
CA
01
—
P01226991
RAILROAD ROAD
CA
Enumeration date
08/03/2006
Last updated
01/22/2014
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