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Individual

VAJEEHA TABASSUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
2335 E KASHIAN LN, SUITE 301, FRESNO, CA 93701-2230
(559) 256-9680
(559) 256-9681
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-126602
IL
207RH0003X
Hematology & Oncology Physician
Primary
A145442
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036126602
IL
Enumeration date
01/10/2008
Last updated
11/29/2021
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