Individual
DR. QAIS MOHAMMAD WAHIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1600 CREEKSIDE DR, STE 2100, FOLSOM, CA 95630-3447
(916) 542-7467
(916) 932-4879
Mailing address
1600 CREEKSIDE DR, STE 2100, FOLSOM, CA 95630-3447
(916) 542-7467
(916) 932-4879
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A111390
CA
261QP2300X
Primary Care Clinic/Center
Primary
111390
CA
Other
Enumeration date
08/05/2008
Last updated
03/12/2020
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