Individual
AHMAD KOFAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 E CENTER AVE, VISALIA, CA 93291-6331
(559) 737-4700
Mailing address
305 E CENTER AVE, VISALIA, CA 93291-6331
(559) 737-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A174234
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2018
Last updated
08/23/2021
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